Provider Demographics
NPI:1871778233
Name:SYMBRAL FOUNDATION
Entity type:Organization
Organization Name:SYMBRAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:RN, ND
Authorized Official - Phone:301-650-5722
Mailing Address - Street 1:914 SILVER SPRING AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4621
Mailing Address - Country:US
Mailing Address - Phone:301-650-5722
Mailing Address - Fax:301-650-5729
Practice Address - Street 1:914 SILVER SPRING AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4621
Practice Address - Country:US
Practice Address - Phone:301-650-5722
Practice Address - Fax:301-650-5729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD03-0005315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities