Organization
MELWOOD, INCORPORATED
Active
Organization
MELWOOD, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON STUBBLEFIELD (CHIEF FINANCIAL OFFICER)
(301) 599-4511
Entity
Organization
Contact information
Practice address
5606 DOWER HOUSE RD, UPPER MARLBORO, MD 20772-3604
(301) 599-8000
Mailing address
5606 DOWER HOUSE RD, UPPER MARLBORO, MD 20772-3604
(301) 599-8000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
DDA-18945-07
MD
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
DDA-18945-07
MD
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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