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
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