Organization
I CHOSE TO FLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AFREKA LYNCH (CEO)
(443) 408-8045
Entity
Organization
Contact information
Practice address
8304 HARFORD RD, 2ND FOOR, PARKVILLE, MD 21234-5700
(443) 408-8045
Mailing address
8304 HARFORD RD, 2ND FOOR, PARKVILLE, MD 21234
(443) 408-8045
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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