Organization
NEW HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB MAMMEN (ADMINISTRATOR)
(301) 871-2749
Entity
Organization
Contact information
Practice address
3005 BONVIEW LN, SILVER SPRING, MD 20906-5335
(301) 871-2749
Mailing address
3005 BONVIEW LN, SILVER SPRING, MD 20906-5335
(301) 871-2749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
15AL 0504-A
MD
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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