Individual provider · Type 1 NPI

Marliyatu Jalloh

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Springdale, MD

NPI number 1073405965 Active

Practice location

3702 Lady Dova Way
Springdale, MD 20774

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Another provider at this address

About NPI 1073405965

Marliyatu Jalloh's National Provider Identifier is 1073405965, issued on Jul 16, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Springdale, MD. The record was last updated on Jul 16, 2025.