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Organization

WHOLENESS LIFESTYLE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CYRIL CHUKWUEMEKA OKORO (CEO)
(240) 779-5380
Entity
Organization

Contact information

Practice address
4310 REVEREND EVERSFIELD CT, UPPER MARLBORO, MD 20772-2917
(240) 779-5380
Mailing address
4310 REVEREND EVERSFIELD CT, UPPER MARLBORO, MD 20772-2917
(240) 779-5380

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
261QD1600X
Developmental Disabilities Clinic/Center
Primary
310400000X
Assisted Living Facility
3104A0625X
Assisted Living Facility (Mental Illness)
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
01/18/2024
Last updated
01/18/2024
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