Provider Demographics
NPI:1851038251
Name:DREAMLIFE LLC
Entity Type:Organization
Organization Name:DREAMLIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SACHARIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-770-2917
Mailing Address - Street 1:7255 STANDARD DR STE E
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1775
Mailing Address - Country:US
Mailing Address - Phone:410-770-2920
Mailing Address - Fax:410-630-5170
Practice Address - Street 1:5714 SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3320
Practice Address - Country:US
Practice Address - Phone:410-770-2920
Practice Address - Fax:410-630-5170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility