Organization
HOUSE OF LASTING LOVE, INC
Active
Other names
House Of Lasting Love
Organization subpart
No
Provider details
NPI number
Authorized official
CHARDA RIVIES (CEO)
(443) 648-1880
Entity
Organization
Contact information
Practice address
2303 OCALA AVE, BALTIMORE, MD 21215-7801
(443) 648-1880
Mailing address
6630 RIDGEBORNE DR, ROSEDALE, MD 21237-3871
(443) 648-1880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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