Omni House,inc

NPI 1205013711 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1205013711
Enumeration Date 01/28/2008
Last Updated 01/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name HELEN HELEN
Position CEO
Phone (410) 768-2719
Fax
Practice Location
1419 MADISON PARK DR
GLEN BURNIE MD, 21061-5613, US
Phone (410) 768-2719
Fax
Business Location
1419 MADISON PARK DR
GLEN BURNIE MD, 21061-5613, US
Phone (410) 768-2719
Fax
Toxanomy
Taxonomy Code 320800000X
License State Maryland
License Number 261QMO85OX
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According to our database, Omni House,inc NPI is 1205013711, taxonomy code is 320800000X and license number is 261QMO85OX, license state is located at Maryland. Omni House,inc physically located at 1419 Madison Park Dr, Glen Burnie MD, 21061-5613. NPI Number 1033115704 has the healthcare provider type.

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1205013711 NPI number is provided on an as is basis without warranty of any kind. 1205013711 is maintained by the National Plan & Provider Enumeration System. The contents of Omni House,inc are for informational purposes only.