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Organization

COMMUNITY OF INFINITE POSSIBILITES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AFREKA LYNCH (CO-OWNER)
(443) 408-8045
Entity
Organization

Contact information

Practice address
8304 HARFORD RD, 2ND FLOOR, PARKVILLE, MD 21234-5700
(443) 408-8045
(443) 408-8050
Mailing address
8304 HARFORD RD, 2ND FLOOR, PARKVILLE, MD 21234-5700
(443) 408-8045
(443) 408-8050

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MD
251J00000X
Nursing Care Agency
NS9912022
MD
251S00000X
Community/Behavioral Health Agency
Primary
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
07/15/2015
Last updated
12/30/2015
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