Organization
LIFE CARE GROUP HOME
Active
Other names
LIFE CARE GROUP HOME, LIFE CARE GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL K. MANSARAY (VICE CEO)
(571) 575-3555
Entity
Organization
Contact information
Practice address
14901 ROLLING MEADOWS RD, UPPER MARLBORO, MD 20772-8338
(301) 627-1675
Mailing address
6403 FRENCHMENS DR, ALEXANDRIA, VA 22312-1647
(571) 575-3555
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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