Organization
SUCCESS IS YOURS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHON TIMOTHY SMITH (VICE PRESIDENT)
(301) 821-2650
Entity
Organization
Contact information
Practice address
10845 LANHAM SEVERN RD, GLENN DALE, MD 20769-9548
(301) 741-1316
(240) 573-3521
Mailing address
6514 MARLBORO PIKE UNIT 47681, DISTRICT HEIGHTS, MD 20753-6531
(301) 741-1316
(240) 573-3521
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
16-002
MD
Other
Enumeration date
10/13/2009
Last updated
06/28/2019
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