Divine Light Residential Treatment Llc

LBN: Divine Light Residential Treatment Llc
Divine Light Residential Treatment Llc is an health care organization with primary practice located at 1200 W Baltimore St , Baltimore MD 21223-2601. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Divine Light Residential Treatment Llc can be contacted via phone (267) 278-1079, or through Dean, Sakina via phone (267) 278-1079.

Contact Information

Primary practice address
1200 W Baltimore St Baltimore MD 21223-2601
Fax:
Website:
Authorized official contact:
Name: Dean, Sakina

Health care specialties

Profile Details

NPI number 1962147082
LBN Legal business name Divine Light Residential Treatment Llc
DBA Doing business as
Authorized official Dean, Sakina
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2022
Last updated May 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962147082 NPPES
Maryland MEDICAID 577023800

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