Individual
MR. OLUMIDE SILAS ILESANMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 BALTIMORE BLVD STE 151, WESTMINSTER, MD 21157-7071
(443) 653-3918
Mailing address
909 BALTIMORE BLVD STE 151, WESTMINSTER, MD 21157-7071
(443) 653-3918
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
MD
251E00000X
Home Health Agency
—
MD
251G00000X
Community Based Hospice Care Agency
—
MD
3747A0650X
Attendant Care Provider
—
MD
3747P1801X
Personal Care Attendant
Primary
—
MD
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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