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Organization

LILLYS PLACE CONSULTANT FIRM LLC

Active
Other names
Lillys Place Assisted Livivng
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELODY SMITH (MANAGER)
(202) 812-8674
Entity
Organization

Contact information

Practice address
2708 MARSHALL HALL RD, BRYANS ROAD, MD 20616-3243
(202) 812-8674
Mailing address
2708 MARSHALL HALL RD, BRYANS ROAD, MD 20616-3243
(202) 812-8674

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
08/05/2024
Last updated
08/05/2024
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