Forever Home, LLC

NPI #1619485851 in Parkton, Maryland

Provider Information

NPI Number: 1619485851
Entity Type: Organization
Organization Name: Forever Home, LLC
Primary Specialty: Occupational Therapist - Environmental Modification
Enumeration Date: Jan 22, 2018
Last Updated: Jan 22, 2018

Practice Location

Address: 1324 RAYVILLE RD
City: Parkton
State: Maryland
ZIP Code: 21120-9056
Phone: (443) 212-5340

Authorized Official

Name: DR. KATHLEEN ANN SUBASIC, PHD, OTR/L, CPAS
Title: OCCUPATIONAL THERAPIST
Phone: (410) 812-1916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Environmental Modification — Environmental Modification	225XE0001X	Primary

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