Organization
REHOVOT SUPPORT SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLASADE LARA WYATT (MANAGING OWNER)
(443) 834-0476
Entity
Organization
Contact information
Practice address
50 HAMLET DR, OWINGS MILLS, MD 21117-5427
(443) 834-0476
Mailing address
50 HAMLET DR, OWINGS MILLS, MD 21117-5427
(443) 834-0476
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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