The Jude House, Inc.

NPI 1265676571 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1265676571
Enumeration Date 04/30/2009
Last Updated 10/01/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DENNIS L. DENNIS
Position EXECUTIVE DIRECTOR
Phone (301) 932-0700
Fax (301) 609-9236
Practice Location
9505 CRAIN HWY
BEL ALTON MD, 20611-3144, US
Phone (301) 932-0700
Fax (301) 609-9236
Business Location
PO BOX 1057
LA PLATA MD, 20646-1057, US
Phone (301) 932-0700
Fax (301) 609-9236
Toxanomy
Taxonomy Code 324500000X
License State Maryland
License Number 102188
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According to our database, The Jude House, Inc. NPI is 1265676571, taxonomy code is 324500000X and license number is 102188, license state is located at Maryland. The Jude House, Inc. physically located at 9505 Crain Hwy, Bel Alton MD, 20611-3144. NPI Number 1033115704 has the healthcare provider type.

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1265676571 NPI number is provided on an as is basis without warranty of any kind. 1265676571 is maintained by the National Plan & Provider Enumeration System. The contents of The Jude House, Inc. are for informational purposes only.