Provider Demographics
NPI:1881848356
Name:PMF CARE LLC
Entity Type:Organization
Organization Name:PMF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MUTED
Authorized Official - Middle Name:
Authorized Official - Last Name:FOFUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-355-5398
Mailing Address - Street 1:10300 FOXLAKE DR
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2607
Mailing Address - Country:US
Mailing Address - Phone:240-355-5398
Mailing Address - Fax:
Practice Address - Street 1:4230 EADS ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017
Practice Address - Country:US
Practice Address - Phone:240-355-5398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities