OrganizationActive
Basic Care Services, Inc
NPI 1174364954 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lanham, MD
Provider details
- NPI number
- 1174364954
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Egoyibo Stella Onyenkwere, Ceo(215) 594-1824
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
9727 Good Luck Rd Apt 6
Lanham, MD 20706-3313
Phone: (215) 594-1824
Approximate (ZIP-level) locationGet directions
Mailing address
9727 Good Luck Rd Apt 6
Lanham, MD 20706-3313
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.