Organization
UP & HALE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITILAYO B SHAKIRU (PROGRAM ADMINISTRATOR)
(240) 486-2087
Entity
Organization
Contact information
Practice address
13992 BALTIMORE AVE STE 202, LAUREL, MD 20707-5010
(240) 486-2087
Mailing address
13992 BALTIMORE AVE STE 202, LAUREL, MD 20707-5010
(240) 486-2087
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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