Organization
LEADWAY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES IWEJUO (CHIEF EXECUTIVE OFFICER)
(973) 861-0482
Entity
Organization
Contact information
Practice address
719 LUKE RD, MIDDLE RIVER, MD 21220-3797
(973) 861-0482
Mailing address
719 LUKE RD, MIDDLE RIVER, MD 21220-3797
(973) 861-0482
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/22/2024
Last updated
03/30/2025
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