Organization
IBIS COMMUNITY SERVICES LLC
Active
Parent organization
IBIS INDUSTRIES INTERNATIONAL LLC
Other names
Ibis Community Services LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBIS INDUSTRIES INTERNATIONAL LLC
Authorized official
RHONDA SEEGOBIN (PRESIDENT)
(301) 915-5588
Entity
Organization
Contact information
Practice address
1738 ELTON RD STE 200B, SILVER SPRING, MD 20903-1725
(240) 784-7640
(301) 650-5729
Mailing address
1738 ELTON RD STE 200B, SILVER SPRING, MD 20903-1725
(240) 784-7640
(301) 650-5729
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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