Organization
RESTORED LIVING LLC
Active
Other names
Restored Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OKPENZE OKPENZE PMHNP (CEO)
(917) 378-2269
Entity
Organization
Contact information
Practice address
2484 OLD HARFORD ROARD, PARKVILLE, MD 21234
(410) 882-1715
Mailing address
3044 CALIFORNIA AVE, PARKVILLE, MD 21234-4141
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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