Organization
MARYLAND SUCCESS ACADEMY LLC DBA MARYLAND SUCCESS LAB LLC
Active
Other names
Maryland Success Lab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUBBARD MED, NURSE EDUCATOR (PRESIDENT)
(443) 353-9729
Entity
Organization
Contact information
Practice address
9854 LIBERTY RD STE E, RANDALLSTOWN, MD 21133-2058
(443) 353-9729
Mailing address
9854 LIBERTY RD STE E, RANDALLSTOWN, MD 21133-2058
(443) 353-9729
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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