Organization
FULL CIRCLE HOME CARE, LLC
Active
Parent organization
FULL CIRCLE HOME CARE
Other names
Full Circle Youth & Family Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULL CIRCLE HOME CARE
Authorized official
SHANELL NICOLE JACOBS (OWNER)
(410) 487-4300
Entity
Organization
Contact information
Practice address
2131 ESPEY CT STE 2, CROFTON, MD 21114-2474
(410) 487-4300
Mailing address
2131 ESPEY CT STE 2, CROFTON, MD 21114-2474
(410) 487-4300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502586900
—
MD
Enumeration date
12/26/2022
Last updated
12/27/2022
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