Manchester House LLC

NPI #1700470069 in Derwood, Maryland

Provider Information

NPI Number
1700470069
Entity Type
Organization
Organization Name
Manchester House LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 25, 2021
Last Updated
Feb 25, 2021

Practice Location

Address
6108 GRANBY RD
ZIP Code
20855-1474
Phone
(301) 548-0100

Authorized Official

Name
SONIA SECRETA MUNDLE SMITH
Title
OWNER/MANAGER
Phone
(301) 548-1323

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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