Organization
NISSI HOMES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FRU AKUFONGWE MBA, PHD (ADMINISTRATOR)
(240) 498-1461
Entity
Organization
Contact information
Practice address
20109 TORREY POND PL, MONTGOMERY VILLAGE, MD 20886-1119
(240) 498-1461
Mailing address
20109 TORREY POND PL, MONTGOMERY VILLAGE, MD 20886-1119
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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