Organization
BEULAH HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUWAKEMI FLORENCE OGUNMOLA RN, BSN, MHA/INFO (PRESIDENT)
(301) 257-5788
Entity
Organization
Contact information
Practice address
4103 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8049
(301) 257-5788
(301) 627-3234
Mailing address
4103 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8049
(301) 257-5788
(301) 627-3234
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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