| Organization Name: | MARYLAND CARE OF CAMP SPRINGS LLC |
| NPI Number: | 1821475682 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KHANH-LINH FLYNN (MANAGING PARTNER) |
| Mailing Address: | 4703 Old Soper Road Suite R-1 Camp Springs |
| State: | MD US |
| Postal Code: | 20746 |
| Phone Number: | 2407163649 |
| Fax Number: | 2407163672 |
| NPI Enumeration Date: | 04/30/2015 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |