Organization
AGNES SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWASEUN OYINKOLADE (DIRECTOR)
(667) 273-0675
Entity
Organization
Contact information
Practice address
5100 BUCKEYSTOWN PIKE STE 250-212, FREDERICK, MD 21704-8336
(667) 273-0675
Mailing address
5100 BUCKEYSTOWN PIKE STE 250-212, FREDERICK, MD 21704-8336
(667) 273-0675
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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