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Organization

LATTER RAIN INCORPORATED

Active
Parent organization
LATTER RAIN INC
Other names
LATTER RAIN HEALTH SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
LATTER RAIN INC
Authorized official
MS. LILLIAN U EZEJI-OKOYE (EXECUTIVE DIRECTOR)
(240) 643-7642
Entity
Organization

Contact information

Practice address
15824 BUENA VISTA DR, DERWOOD, MD 20855-2658
(240) 643-7642
(301) 847-0546
Mailing address
15824 BUENA VISTA DR, DERWOOD, MD 20855-2658
(240) 643-7642
(301) 847-0546

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
251E00000X
Home Health Agency
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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