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Organization

CROWN CARE CORPORATION

Active
Other names
CCC Homes
Organization subpart
No

Provider details

NPI number
Authorized official
ADEGBENGA BENJAMIN KILADEJO (MANAGER)
(240) 416-1579
Entity
Organization

Contact information

Practice address
5100 BUCKEYSTOWN PIKE, FREDERICK, MD 21704-8336
(240) 416-1579
Mailing address
5403 RICHARDSONS ENDEAVOR DR, BOWIE, MD 20720-3390
(240) 416-1579

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/11/2024
Last updated
03/11/2024
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