Organization
COZY HOME LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCIA LISA MORENO RN, BSN (PRESIDENT)
(240) 394-6359
Entity
Organization
Contact information
Practice address
11431 AMHERST AVE #1996, SILVER SPRING, MD 20915
(240) 394-6359
Mailing address
11431 AMHERST AVE PO BOX #1996, SILVER SPRING, MD 20915
(240) 394-6359
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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