Organization
MOHMOH HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILOMENE EKOBENA (DIRECTOR)
(240) 882-9262
Entity
Organization
Contact information
Practice address
5921 J ST, FAIRMOUNT HEIGHTS, MD 20743-6527
(240) 882-9262
Mailing address
5921 J ST, FAIRMOUNT HEIGHTS, MD 20743-6527
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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