Organization
OBG HOME LIFE SOLUTIONS LLC
Active
Organization
OBG HOME LIFE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL O GASTON (MEMBER/DIR OF RESIDENTIAL PROGRAMS)
(240) 533-1199
Entity
Organization
Contact information
Practice address
615 SWANN AVE APT 106, ALEXANDRIA, VA 22301-1451
(703) 299-2489
Mailing address
5618 GALLOWAY DR, OXON HILL, MD 20745-3227
(240) 533-1199
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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