Organization
ROBISAN ADULT GROUP HOME LLC
Active
Other names
Robisan Adult Group Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ABIGAIL ROBERTSON-SANCHEZ RN, MSN, CRNA (CO-OWNER)
(301) 922-6802
Entity
Organization
Contact information
Practice address
8443 BATES DR, BOWIE, MD 20720-4478
(301) 922-6802
Mailing address
2112 THOMPSON HILL CT, SILVER SPRING, MD 20905-4354
(301) 922-6802
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21049879
MARYLAND LLC
MD
Enumeration date
03/09/2022
Last updated
03/09/2022
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