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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOREN WILSON HILL (CEO/TEACHER)
(410) 419-6084
Entity
Organization

Contact information

Practice address
1816 12TH ST NW, WASHINGTON, DC 20009-4422
(202) 380-9570
Mailing address
10612 HIGH BEAM COURT, COLUMBIA, MD 21044
(410) 419-6084
(410) 997-3734

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251G00000X
Community Based Hospice Care Agency
253Z00000X
In Home Supportive Care Agency
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
05/26/2016
Last updated
03/06/2017
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