Provider Demographics
NPI:1801436449
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:
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 1:90 HAMMONDS LN APT 342
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MD
Mailing Address - Zip Code:21225-3681
Mailing Address - Country:US
Mailing Address - Phone:443-866-4389
Mailing Address - Fax:
Practice Address - Street 1:7255 STANDARD DR STE E
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1775
Practice Address - Country:US
Practice Address - Phone:443-866-4389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health