Organization
FOREVER HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN SUBASIC PHD, OTR/L, CPAS (OCCUPATIONAL THERAPIST)
(410) 812-1916
Entity
Organization
Contact information
Practice address
1324 RAYVILLE RD, PARKTON, MD 21120-9056
(443) 212-5340
Mailing address
PO BOX 652, MONKTON, MD 21111-0652
(410) 812-1916
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
04200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4245806
—
MD
Enumeration date
01/22/2018
Last updated
01/22/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us