Provider Demographics
NPI:1730678061
Name:ISABELL HOME CARE ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:ISABELL HOME CARE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALM/MT
Authorized Official - Prefix:
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:CROSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-583-9313
Mailing Address - Street 1:11609 CANDOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721
Mailing Address - Country:US
Mailing Address - Phone:240-929-6822
Mailing Address - Fax:
Practice Address - Street 1:11609 CANDOR DRIVE
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721
Practice Address - Country:US
Practice Address - Phone:240-929-6822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAL002223310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility