Organization
ESSENCE HEALTH SUPPORT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFEMI SHODEKE (EXECUTIVE DIRECTOR)
(443) 629-9328
Entity
Organization
Contact information
Practice address
33 W FRANKLIN ST STE 201, HAGERSTOWN, MD 21740-4863
(443) 413-9621
Mailing address
5103 MINTZ LN, ELLICOTT CITY, MD 21043-6864
(443) 413-9621
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
03/20/2024
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