Organization
LOVING CARE DISABILITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOUROU VALERY WILSON PLAGBETO (CO-OWNER)
(347) 375-5728
Entity
Organization
Contact information
Practice address
1 HERMOSA PL APT 104, GAITHERSBURG, MD 20877-7705
(347) 375-5728
Mailing address
1 HERMOSA PL APT 104, GAITHERSBURG, MD 20877-7705
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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