Provider Demographics
NPI:1235020306
Name:DEDICATED CARE SERVICES LLC
Entity type:Organization
Organization Name:DEDICATED CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:EYONG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:443-629-1456
Mailing Address - Street 1:13606 OAKLANDS MANOR DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1429
Mailing Address - Country:US
Mailing Address - Phone:443-629-1456
Mailing Address - Fax:
Practice Address - Street 1:13606 OAKLANDS MANOR DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1429
Practice Address - Country:US
Practice Address - Phone:443-629-1456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities