Organization
HOUSE LOVE LLC
Active
Parent organization
HOUSE OF LOVE, II
Other names
House of Love, I
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSE OF LOVE, II
Authorized official
MRS. AGNES REGINA DAVIS CAREGIVER (OWNER AND MANAGER)
(202) 422-7733
Entity
Organization
Contact information
Practice address
2804 CRICKLEWOOD DR, FORT WASHINGTON, MD 20744-2411
(201) 265-0143
Mailing address
9813 JACQUELINE DR, FORT WASHINGTON, MD 20744-2526
(301) 248-6151
(240) 244-1147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
16AL548
MD
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
16AL548
MD
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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