Organization
SALVATION LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEZEKIAH ILUFOYE (DIRECTOR)
(443) 226-8748
Entity
Organization
Contact information
Practice address
10714 MARRIOTTSVILLE RD, RANDALLSTOWN, MD 21133-1312
(443) 226-8748
Mailing address
10714 MARRIOTTSVILLE RD, RANDALLSTOWN, MD 21133-1312
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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