OrganizationActive
Care Crest Support, Inc
NPI 1689536682 · Developmentally Disabled Services Day Training Agency · Glenn Dale, MD
Provider details
- NPI number
- 1689536682
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Opeyemi Elegbe, Ceo/Owner(301) 395-5805
Specialties & taxonomies
Agencies
Practice location
6907 Fountain Park Dr
Glenn Dale, MD 20769-9484
Phone: (301) 395-5805
Approximate (ZIP-level) locationGet directions
Mailing address
6907 Fountain Park Dr
Glenn Dale, MD 20769-9484
Registry dates
- Enumerated
- 2025-11-27
- Last updated
- 2025-11-27
- Certified
- 2025-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.