Organization
NISSI HOMES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN JULES FOTSO MD (DIRECTOR QUALITY ASSURANCE)
(301) 385-5743
Entity
Organization
Contact information
Practice address
8604 BRIARWOOD CT, LAUREL, MD 20708-1320
(301) 385-5743
Mailing address
8604 BRIARWOOD CT, LAUREL, MD 20708-1320
(301) 385-5743
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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