Organization
HEBRON HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATANMI OLUSESAN KUFORIJI (DIRECTOR)
(410) 233-1990
Entity
Organization
Contact information
Practice address
2300 GARRISON BLVD STE 101, BALTIMORE, MD 21216-2308
(410) 233-1990
(410) 233-1991
Mailing address
2300 GARRISON BLVD STE 101, BALTIMORE, MD 21216-2308
(410) 233-1990
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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