Organization
MANCHESTER HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA SECRETA MUNDLE SMITH (OWNER/MANAGER)
(301) 548-1323
Entity
Organization
Contact information
Practice address
6108 GRANBY RD, DERWOOD, MD 20855-1474
(301) 548-0100
(301) 548-1323
Mailing address
6108 GRANBY RD, DERWOOD, MD 20855-1474
(301) 548-0100
(301) 548-1323
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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