| NPI Details | |
|---|---|
| NPI | 1891070645 |
| Enumeration Date | 10/12/2011 |
| Last Updated | 10/12/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | MARIE MONA MARIE |
| Position | ASSISTED LIVING MANAGER |
| Phone | (240) 463-7196 |
| Fax | |
| Practice Location | |
|---|---|
| 6305 TUCKERMAN LN ROCKVILLE MD, 20852-3511, US |
|
| Phone | (240) 463-7196 |
| Fax | |
| Business Location | |
|---|---|
| 6305 TUCKERMAN LN ROCKVILLE MD, 20852-3511, US |
|
| Phone | (240) 463-7196 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 310400000X |
| License State | Maryland |
| License Number | 15AL0446-A |
| Remove 1891070645 NPI Number | |
According to our database, Villa Belle Moon Assisted Living Inc NPI is 1891070645, taxonomy code is 310400000X and license number is 15AL0446-A, license state is located at Maryland. Villa Belle Moon Assisted Living Inc physically located at 6305 Tuckerman Ln, Rockville MD, 20852-3511. NPI Number 1033115704 has the healthcare provider type.
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1891070645 NPI number is provided on an as is basis without warranty of any kind. 1891070645 is maintained by the National Plan & Provider Enumeration System. The contents of Villa Belle Moon Assisted Living Inc are for informational purposes only.
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