OrganizationActive
Living Good Care
NPI 1407097256 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Waldorf, MD
Provider details
- NPI number
- 1407097256
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Philasteen Middleton, Owner(301) 705-5498
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3133 Eutaw Forest Dr
Waldorf, MD 20603-4070
Phone: (301) 705-5498
Fax: (301) 705-5498
Approximate (ZIP-level) locationGet directions
Mailing address
3133 Eutaw Forest Dr
Waldorf, MD 20603
Registry dates
- Enumerated
- 2009-03-07
- Last updated
- 2009-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.