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Organization

RAFAEL RESIDENTIAL SERVICE AGENCY , LLC

Active
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Organization

RAFAEL RESIDENTIAL SERVICE AGENCY , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NOREEN KOOJO KABAHUMA MSN,RN,CNL,DN (ADMINISTRATOR)
(240) 452-9572
Entity
Organization

Contact information

Practice address
622 MILFORD MILL RD, PIKESVILLE, MD 21208-5805
(410) 493-0572
Mailing address
622 MILFORD MILL RD, PIKESVILLE, MD 21208-5805
(410) 493-0572

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary

Other

Enumeration date
06/29/2026
Last updated
06/29/2026
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