Individual provider · Type 1 NPI

Sally Alagoa

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

NPI number 1205490653 Active

Practice location

5824 Everhart Pl
Fort Washington, MD 20744-3011

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.

About NPI 1205490653

Sally Alagoa's National Provider Identifier is 1205490653, issued on Apr 30, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fort Washington, MD. The record was last updated on Apr 30, 2019.