Organization
MERRY STARS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYOMIKUN FABUNMI (PROGRAM ADMINISTRATOR)
(240) 879-7479
Entity
Organization
Contact information
Practice address
3524 CARRIAGE HILL CIR APT 203, RANDALLSTOWN, MD 21133-2961
(240) 879-7479
Mailing address
3524 CARRIAGE HILL CIR APT 203, RANDALLSTOWN, MD 21133-2961
(240) 879-7479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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