Avena Staffing Group LLC

NPI #1164687737 in Laurel, Maryland

Provider Information

NPI Number
1164687737
Entity Type
Organization
Organization Name
Avena Staffing Group LLC
Primary Specialty
Respite Care
Enumeration Date
Jul 23, 2008
Last Updated
Jul 23, 2008

Practice Location

Address
15036 COURTLAND PLACE
City
Laurel
ZIP Code
20707
Phone
(301) 725-6196

Authorized Official

Name
MRS. VICTORIA CHINYE EMENANJO, BSC MBPA LPN
Title
EXECUTIVE DIRECTOR
Phone
(301) 725-6196

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Psychiatric Residential Treatment Facility
Respite Care

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