Organization
MY SISTER'S PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA TREASE ROUSE RN (OWNER)
(301) 516-7404
Entity
Organization
Contact information
Practice address
21106 TALL CEDAR WAY, GERMANTOWN, MD 20876-6051
(301) 515-7404
(301) 576-5448
Mailing address
21106 TALL CEDAR WAY, GERMANTOWN, MD 20876-6051
(301) 515-7404
(301) 576-5448
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
15AL0519-A
MD
310400000X
Assisted Living Facility
15ALO519-A
MD
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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