Organization
FLAME OF LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFY GERA EDE-BROWN (PRESIDENT)
(240) 286-3182
Entity
Organization
Contact information
Practice address
4305 CINIBAR CT, FORT WASHINGTON, MD 20744-1212
(240) 286-3182
Mailing address
4305 CINIBAR CT, FORT WASHINGTON, MD 20744-1212
(240) 286-3182
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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