Organization
AWAKEN HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDIMMA DAISY UCHE LPN, CGRC (CEO)
(443) 514-5145
Entity
Organization
Contact information
Practice address
8406 DOWNEY DALE DR, RANDALLSTOWN, MD 21133-4815
(443) 495-3223
Mailing address
8406 DOWNEY DALE DR, RANDALLSTOWN, MD 21133-4815
(443) 495-3223
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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