Organization
HEALTHCARE LIVING FOR FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEMOLA OLASIMBO (EXECUTIVE DIRECTOR)
(410) 701-7384
Entity
Organization
Contact information
Practice address
3100 LORD BALTIMORE DRIVE, SUITE 208, WINDSOR MILL, MD 21244
(410) 701-7384
(410) 521-7005
Mailing address
3100 LORD BALTIMORE DRIVE, SUITE 208, WINDSOR MILL, MD 21244
(410) 701-7384
(410) 521-7005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
103663
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4204191 00
—
MD
Enumeration date
01/18/2013
Last updated
08/03/2023
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