Organization
SPRAOUT CARE LLC
Active
Other names
United States
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FIDELIS N SAB CAC II (OWNER)
(240) 350-9677
Entity
Organization
Contact information
Practice address
7603 GEORGIA AVE NW STE 204, WASHINGTON, DC 20012-1617
(202) 601-5310
Mailing address
7603 GEORGIA AVE NW, WASHINGTON, DC 20012-1617
(240) 350-9677
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/24/2019
Last updated
10/12/2024
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