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Organization
GENESIS HEALTHCARE INC
Active
Organization
GENESIS HEALTHCARE INC
Active
Other names
Genesis Healthcare Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOLAJI OLUGBOJA DNP PMHNP (MEDICAL DIRECTOR)
(410) 258-0565
Entity
Organization
Contact information
Practice address
8509 GLEN MICHAEL LN APT T3, RANDALLSTOWN, MD 21133-5227
(410) 258-0565
Mailing address
127 PITTSTON CIR, OWINGS MILLS, MD 21117-1723
(410) 258-0565
(410) 237-6306
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
05/28/2025
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