Organization
KING SAMUEL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIDEON GBEMILEKE OLAYIWOLA (DIRECTOR)
(443) 979-1743
Entity
Organization
Contact information
Practice address
9813 PLOWLINE RD, RANDALLSTOWN, MD 21133-2524
(443) 979-1743
Mailing address
9813 PLOWLINE RD, RANDALLSTOWN, MD 21133-2524
(443) 979-1743
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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