Organization
LUMINANCE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWAKEMI OGUNSEYE (PRESIDENT)
(301) 254-3524
Entity
Organization
Contact information
Practice address
216 E LEXINGTON ST, BALTIMORE, MD 21202-3501
(410) 801-9011
Mailing address
216 E LEXINGTON ST, BALTIMORE, MD 21202-3501
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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