Organization
LIBERTY FAMILY CARE LLC
Active
Other names
Liberty Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOLAJI O OLUGBOJA DNP (DR.)
(410) 301-6767
Entity
Organization
Contact information
Practice address
8515 LIBERTY RD, RANDALLSTOWN, MD 21133-4832
(410) 301-6767
Mailing address
8515 LIBERTY RD, RANDALLSTOWN, MD 21133-4832
(410) 301-6767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
12/21/2021
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