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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATIA TOUSSAINT COLEY (CEO)
(240) 350-3015
Entity
Organization

Contact information

Practice address
16111 JULIE LN, LAUREL, MD 20707-2787
(240) 350-3015
Mailing address
9398 CANTERBURY RIDING, LAUREL, MD 20723-1449
(240) 350-3015

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
0605008
MD
310400000X
Assisted Living Facility
Primary
16AL0909-A
MD

Other

Enumeration date
08/21/2008
Last updated
08/21/2008
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