Organization
DOVE POINTE RESIDENTIAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD B HACKETT (EXECUTIVE DIRECTOR)
(410) 341-4472
Entity
Organization
Contact information
Practice address
1225 MT HERMON ROAD, SALISBURY, MD 21804
(410) 341-4472
(410) 341-0927
Mailing address
PO BOX 1610, SALISBURY, MD 21802
(410) 341-4472
(410) 341-0927
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
2293615
MD
261QD1600X
Developmental Disabilities Clinic/Center
Primary
DDA1052304
MD
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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