Organization
FORMA CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWASEUN OGUNLEYE (FOUNDER)
(240) 543-5972
Entity
Organization
Contact information
Practice address
39 E FRANKLIN ST STE C, HAGERSTOWN, MD 21740-4914
(240) 543-5972
Mailing address
9611 MASON LN, LAUREL, MD 20723-1907
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
05/28/2024
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