Organization
ABOVECARE COMMUNITY SERVICES INC
Active
Other names
AVID HEALTHCARE SERVICES LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
OLA OLUKANNI (ADMINISTRATOR)
(410) 830-0061
Entity
Organization
Contact information
Practice address
36 FALLS CHAPEL WAY, REISTERSTOWN, MD 21136-3653
(410) 830-0061
Mailing address
36 FALLS CHAPEL WAY, REISTERSTOWN, MD 21136-3653
(410) 830-0061
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/21/2023
Last updated
04/28/2023
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