Organization · Type 2 NPI

Jay's Place Residential Group Home

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

NPI number 1629916135 Active

Practice location

7897 Mine Run Rd
Hanover, MD 21076

Mailing address

12530 Fairwood Pkwy Ste 102
Bowie, MD 20720-6357

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 1629916135

Jay's Place Residential Group Home's National Provider Identifier is 1629916135, issued on Mar 24, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Hanover, MD. The record was last updated on Mar 24, 2026.