Provider Demographics
NPI:1386492908
Name:DEVOTE LLC
Entity type:Organization
Organization Name:DEVOTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCOISE SANDRINE
Authorized Official - Middle Name:ESSAMA
Authorized Official - Last Name:TABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-898-5082
Mailing Address - Street 1:11976 CASTLE PINES LN
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3174
Mailing Address - Country:US
Mailing Address - Phone:240-898-5082
Mailing Address - Fax:
Practice Address - Street 1:11976 CASTLE PINES LN
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3174
Practice Address - Country:US
Practice Address - Phone:240-898-5082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)