Organization
INTEGRATED COMMUNITY OUTREACH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALLEN (CEO)
(202) 651-0214
Entity
Organization
Contact information
Practice address
9630 HADLEIGH CT, LAUREL, MD 20723-5932
(202) 651-0214
Mailing address
PO BOX 56, SAVAGE, MD 20763-0056
(202) 651-0214
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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