OrganizationActive
Adaptive Life and Wellness LLC
NPI 1245839877 · Home Health Agency · Upper Marlboro, MD
Provider details
- NPI number
- 1245839877
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kevon Grant, Owner(717) 830-9321
Specialties & taxonomies
Agencies
Practice location
14204 Marlborough Dr
Upper Marlboro, MD 20772-2813
Phone: (202) 618-1122
Approximate (ZIP-level) locationGet directions
Mailing address
14204 Marlborough Dr
Upper Marlboro, MD 20772-2813
Registry dates
- Enumerated
- 2020-10-24
- Last updated
- 2020-11-27
- Certified
- 2020-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.