# LIBERTY FAMILY CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124640974
- **Authorized official:** DR. BOLAJI O OLUGBOJA DNP (DR.)
- **Authorized official phone:** (410) 301-6767

## Contact information

- **Practice address:** 8515 LIBERTY RD, RANDALLSTOWN, MD 21133-4832
- **Practice address phone:** (410) 301-6767
- **Mailing address:** 8515 LIBERTY RD, RANDALLSTOWN, MD 21133-4832
- **Mailing address phone:** (410) 301-6767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 12/21/2021