Organization
LIFESKILLS AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA ONYECHI LPN (ADMINISTRATOR)
(240) 299-3987
Entity
Organization
Contact information
Practice address
1300 MERCANTILE LN STE 129-5, LARGO, MD 20774-5327
(240) 299-3987
(240) 764-6789
Mailing address
1300 MERCANTILE LN STE 129-5, LARGO, MD 20774-5327
(240) 299-3987
(240) 764-6789
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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