Organization
SOUTHERN MARYLAND CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIDIYA BELYOVSKA (EXECUTIVE DIRECTOR)
(301) 884-4498
Entity
Organization
Contact information
Practice address
38588 BRETT WAY, SUITE 1, MECHANICSVILLE, MD 20659-7218
(301) 884-4498
(301) 884-6099
Mailing address
38588 BRETT WAY, SUITE 1, MECHANICSVILLE, MD 20659-7218
(301) 884-4498
(301) 884-6099
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324400800
—
MD
Enumeration date
04/13/2017
Last updated
04/13/2017
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