Organization
FAMILY LIFE FOUNDATION INCORPORATION
Active
Other names
Family lIfe Foundation Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ADEBODUN OWOLABI (CEO)
(443) 985-7590
Entity
Organization
Contact information
Practice address
11721 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3320
(443) 405-3744
(443) 405-3778
Mailing address
11721 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3320
(443) 405-3744
(443) 405-3778
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5766138000
NPI
MD
05
—
5766138000
—
MD
05
—
766138000
—
MD
Enumeration date
02/15/2023
Last updated
02/15/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up