Organization
NEW LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNKE AJEPE (CEO)
(443) 851-1894
Entity
Organization
Contact information
Practice address
3104 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5801
(443) 851-1864
Mailing address
3104 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5801
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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