Organization
MOTHER OF MINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINEKA PATTERSON (OWNER)
(540) 429-5073
Entity
Organization
Contact information
Practice address
1401 MERCANTILE LN STE 200V, LARGO, MD 20774-4312
(301) 543-9686
Mailing address
1401 MERCANTILE LN STE 200V, LARGO, MD 20774-4312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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