Organization · Type 2 NPI
Wings of Life Mobile LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fruitland, MD
Practice location
202 Holly St
Fruitland, MD 21826-2005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Phlebotomy Technician | 246RP1900X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 681104140001 (MD) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1356896708
Wings of Life Mobile LLC's National Provider Identifier is 1356896708, issued on Aug 15, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fruitland, MD. The record was last updated on Sep 13, 2019.