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WILMA EVANGELINE ABUDA BANDONG DDA SERVICE PROVIDER NPI 1720589542


NPI Information

NPI: 1720589542
Provider Name: WILMA EVANGELINE ABUDA BANDONG, DDA SERVICE PROVIDER
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Individual
Address:
3060 MITCHELLVILLE RD STE 104
BOWIE, MD
ZIP 20716
Phone: (202) 460-6219
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Wilma Evangeline Abuda Bandong, DDA SERVICE PROVIDER is a day training developmentally disabled services in Bowie, MD. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. Wilma Evangeline Abuda Bandong, DDA SERVICE PROVIDER NPI is 1720589542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3060 MITCHELLVILLE RD STE 104
BOWIE, MD
ZIP 20716-963
Phone: (202) 460-6219

The enumeration date for this NPI number is 2/27/2018 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesMARYLANDYes
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
3385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19DMEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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