Organization
SUNSHINE LEGACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMUTESI BURUME AIMEE (CEO)
(202) 286-8183
Entity
Organization
Contact information
Practice address
12209 BRAXFIELD CT APT 13, ROCKVILLE, MD 20852-2051
(202) 286-8183
Mailing address
12209 BRAXFIELD CT APT 13, ROCKVILLE, MD 20852-2051
(202) 286-8183
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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