Phoenix Freedom Foundation Of Md, Inc

LBN: Phoenix Freedom Foundation Of Md, Inc
Phoenix Freedom Foundation Of Md, Inc is an health care organization with primary practice located at 14207 Kathleen Ln , Brandywine MD 20613-3006. The organization recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Technologists, Technicians & Other Technical Service Providers / Technician, Other is the primary health care specialty. Phoenix Freedom Foundation Of Md, Inc can be contacted via phone (240) 443-1803, or through Hypolite, Quornelia A via phone (240) 443-1803.

Contact Information

Primary practice address
14207 Kathleen Ln Brandywine MD 20613-3006
Phone: (240) 443-1803
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hypolite, Quornelia A
Phone: (240) 443-1803

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Agencies / In Home Supportive Care 253Z00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1457002438
LBN Legal business name Phoenix Freedom Foundation Of Md, Inc
DBA Doing business as
Authorized official Hypolite, Quornelia A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2022
Last updated Jan 12th, 2022 - about 3 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.

Request for update

Popular Providers