# GENESIS HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Healthcare Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265295125
- **Authorized official:** DR. BOLAJI OLUGBOJA DNP PMHNP (MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 258-0565

## Contact information

- **Practice address:** 8509 GLEN MICHAEL LN APT T3, RANDALLSTOWN, MD 21133-5227
- **Practice address phone:** (410) 258-0565
- **Mailing address:** 127 PITTSTON CIR, OWINGS MILLS, MD 21117-1723
- **Mailing address phone:** (410) 258-0565
- **Mailing address fax:** (410) 237-6306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2024
- **Last updated:** 05/28/2025