OrganizationActive
Anew Inspired Change Organization
NPI 1790273522 · Assisted Living Facility · Upper Marlboro, MD
Provider details
- NPI number
- 1790273522
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Porshia Everett, Director(301) 971-2639
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
1400 Mercantile Ln Ste 246
Upper Marlboro, MD 20774-5353
Phone: (301) 971-2639
Fax: (301) 386-5262
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Mercantile Ln Ste 246
Upper Marlboro, MD 20774-5353
Registry dates
- Enumerated
- 2018-04-26
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.