Organization
LOVE RESIDENTIAL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIST TCHOUDA (PRESIDENT)
(240) 556-8186
Entity
Organization
Contact information
Practice address
14247 SHELBY CIR, HAGERSTOWN, MD 21740-2456
(240) 556-8186
Mailing address
14247 SHELBY CIR, HAGERSTOWN, MD 21740-2456
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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