Organization
MARTHA ASSISTED LIVING
Active
Other names
MARTHA ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
VIDANA JAYAWARDANA (ALM)
(301) 326-7425
Entity
Organization
Contact information
Practice address
3613 DELLABROOKE ST, OLNEY, MD 20832-1028
(301) 326-7425
(240) 833-3256
Mailing address
3613 DELLABROOKE ST, OLNEY, MD 20832-1028
(301) 326-7425
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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