Organization
REWARD HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC ABIOYE OLASUPO (CEO)
(443) 708-4854
Entity
Organization
Contact information
Practice address
2530 N CHARLES ST, SUITE 300, BALTIMORE, MD 21218-4640
(443) 708-4854
(443) 708-4857
Mailing address
2530 N CHARLES ST, SUITE 300, BALTIMORE, MD 21218-4640
(443) 708-4854
(443) 708-4857
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
409426300
MD
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4080
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4080
DHMH (MARYLAND) PRP APPROVAL LICENSE NO
MD
05
—
408449700
—
MD
Enumeration date
02/13/2009
Last updated
10/22/2009
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