Organization
ROYAL PLACE COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMPSON MAYOWA LPN (CEO)
(240) 602-3583
Entity
Organization
Contact information
Practice address
4508 BROAD BLVD, BELTSVILLE, MD 20705-1515
(240) 602-3583
Mailing address
4508 BROAD BLVD, BELTSVILLE, MD 20705-1515
(240) 602-3583
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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