Organization
FAVE SUPPORT SERVICES NJ INC
Active
Other names
FAVE SUPPORT SERVICES NJ INC
Organization subpart
No
Provider details
NPI number
Authorized official
OLALEKAN OYEYEMI OSINKOLU (CEO)
(410) 370-0793
Entity
Organization
Contact information
Practice address
4705 CREEKSIDE CIR APT 304, OWINGS MILLS, MD 21117-6935
(410) 370-0793
Mailing address
4705 CREEKSIDE CIR APT 304, OWINGS MILLS, MD 21117-6935
(410) 370-0793
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7896540
—
NJ
Enumeration date
10/20/2020
Last updated
10/20/2020
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