Organization
ICARE 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADETUNJI ADEWUMI (PRESIDENT/DIRECTOR)
(443) 221-0542
Entity
Organization
Contact information
Practice address
2505 LORD BALTIMORE DR STE F&G, WINDSOR MILL, MD 21244-2673
(443) 221-0542
Mailing address
508 BULL RUN RD, TANEYTOWN, MD 21787-2658
(443) 221-0542
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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