Organization
E-GENERATION
Active
Organization
E-GENERATION
Active
Other names
INTEGRATED CARE MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH AINA MIS (ADMINISTRATOR)
(301) 386-7888
Entity
Organization
Contact information
Practice address
1400 MERCANTILE LN, 212, LARGO, MD 20774-5341
(301) 386-7888
(301) 386-8877
Mailing address
1400 MERCANTILE LN, 212, LARGO, MD 20774-5341
(301) 386-7888
(301) 386-8877
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
MD
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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