Organization
FAVE SUPPORT SERVICES NJ INC
Active
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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