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Organization

MAMAS AUTONOMY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDY AYUK (ADMINISTRATOR)
(301) 728-4428
Entity
Organization

Contact information

Practice address
13503 UNITED LN, BOWIE, MD 20720-5413
(301) 728-4428
Mailing address
13503 UNITED LN, BOWIE, MD 20720-5413

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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