Organization
COMMUNITY OF INFINITE POSSIBILITIES SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AFREKA LYNCH (PRESIDENT)
(443) 408-8045
Entity
Organization
Contact information
Practice address
1809 E JOPPA RD, PARKVILLE, MD 21234-2709
(443) 408-8045
(443) 408-8050
Mailing address
1809 E JOPPA RD, PARKVILLE, MD 21234-2709
(443) 408-8045
(443) 408-8050
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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