Organization
OPENBLISS ADULT RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWAKEMI S AKINRINBOLA CRNP (PMHNP)
(301) 256-1153
Entity
Organization
Contact information
Practice address
11401 ROLLING GREEN PL, HAGERSTOWN, MD 21742-3165
(301) 256-1153
Mailing address
11401 ROLLING GREEN PL, HAGERSTOWN, MD 21742-3165
(301) 256-1153
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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