Joia Hairston
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Accokeek, MD
NPI 1629844337 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1629844337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 16607 Mannington Rd
Accokeek, MD 20607-3479 - Phone
- (682) 704-0233
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | TX | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | TX | Yes |
Addresses
Primary practice location
16607 Mannington Rd
Accokeek, MD 20607-3479
Mailing address
17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Phone (682) 704-0233
Other providers in Accokeek, MD
- Ingrid Liddell Goganious
- Janeika Grant
- Chelsea Guillory
- Terrence Gunthrope
- Adrianne Alece Hagood
- Nurlean Hale-Holman
- Haley'S Mind of Care Services, LLC
- Deborah Hammett
- Healthways
- Healthy Existence LLC
All providers in Accokeek, MD · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.