Organization
HOUSE OF JOSEPH LL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE HARRISON (OWNER/DIRECTOR)
(301) 675-3296
Entity
Organization
Contact information
Practice address
1208 DAVENTRY COURT, BOWIE, MD 20721-3261
(301) 675-3296
Mailing address
1208 DAVENTRY CT, BOWIE, MD 20721-3261
(301) 675-3296
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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