FULL LIFE HAVEN
NPI 1831827880
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Potomac, MD
- Organization
- Community Based Residential Treatment Fa...
About FULL LIFE HAVEN
This page provides the complete NPI Profile along with additional information for Full Life Haven, a provider established in Potomac, Maryland operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1831827880 assigned on August 2022. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Henry Mere Mpa (Principal)
- NPI
- 1831827880 Verify this NPI
- Provider Name
- FULL LIFE HAVEN
- Entity Type
- Organization
- Location Address
- 11731 GLEN MILL RD POTOMAC, MD 20854
- Location Phone
- (301) 379-5088
- Mailing Address
- 11731 GLEN MILL RD POTOMAC, MD 20854
- Mailing Phone
- (301) 379-5088
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2022
- Last Update Date
- 08-09-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831827880, enumerated as an "organization" on August 09, 2022.
The provider is located at 11731 GLEN MILL RD POTOMAC, MD 20854 and the phone number is (301) 379-5088.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
