Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAMON PENN
Active Sole ProprietorDAMON PENN is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in OWINGS MILL, Maryland. NPI 1043195712 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · OWINGS MILL, MD
Registration Details
- NPI Number
- 1043195712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2025 (1.0419317384417 yrs)
- Last Updated
- Aug 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
9438 ADELAIDE LANEIMAGINELIFELLC@AOL.COMOWINGS MILL, MD, 21117Browse MD providers · Browse ZIP 21117
- Phone
- 4104588427
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.