Organization
COZY HORIZONS SUPPORTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSUN OLUSANYA (OWNER/ADMINISTRATOR)
(301) 437-3550
Entity
Organization
Contact information
Practice address
7918 JONES BRANCH DR STE 400, MC LEAN, VA 22102-3319
(703) 946-1664
(703) 894-3351
Mailing address
7918 JONES BRANCH DR STE 400, MC LEAN, VA 22102-3319
(703) 946-1664
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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