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NPI 1902792997 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lanham, MD
Provider details
- NPI number
- 1902792997
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Absalom Shu, Owner(323) 532-5886
Specialties & taxonomies
Residential Treatment Facilities
- Home Health Agency251E00000X
Agencies
Practice location
6919 Elbrook Rd
Lanham, MD 20706-3745
Phone: (323) 532-5886
Approximate (ZIP-level) locationGet directions
Mailing address
6919 Elbrook Rd
Lanham, MD 20706-3745
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.