AVENA STAFFING GROUP LLC
Respite Care Facility at Courtland Pl, Laurel, MD

License number
Maryland LP41016
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
Maryland R121487
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
License number
Maryland R121487
Category
Respite Care Facility
Type
Respite Care
Owner
Name: MRS. VICTORIA CHINYE EMENANJO BSC MBPA LPN
Title: EXECUTIVE DIRECTOR
Phone: (301) 725-6196
Address
Address
15036 Courtland Pl, Laurel, MD 20707
National Provider ID: 1164687737
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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