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Family Life Foundation Incorporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Reisterstown, Maryland
NPI 1043917560

Family Life Foundation Incorporation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Reisterstown, MD. Family Life Foundation Incorporation practices in Reisterstown, MD. The NPI Number for Family Life Foundation Incorporation is 1043917560 and holds a License No. (Maryland).

The current practice location address for Family Life Foundation Incorporation is 11721 Reisterstown Rd, Reisterstown, MD and can be reached out via phone at 443-405-3744 and via fax at 443-405-3778.

Location: 11721 Reisterstown Rd, Reisterstown, MD, 21136-3320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043917560
Provider Name
Family Life Foundation Incorporation
Credential
Provider Entity Type
Organization
Address
11721 Reisterstown Rd, Reisterstown, MD, 21136-3320
Phone Number
443-405-3744
Fax Number
443-405-3778
Provider Enumeration Date
02/15/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5766138000 01 MD NPI
5766138000 05 MD
766138000 05 MD
institution
Provider Business Practice Location Address Details
Address
11721 Reisterstown Rd
City
Reisterstown
State
Maryland
Zip
21136-3320
Phone Number
443-405-3744
Fax Number
443-405-3778
person
Provider Business Mailing Address Details
Address
11721 Reisterstown Rd
City
Reisterstown
State
Maryland
Zip
21136-3320
Phone Number
443-405-3744
Fax Number
443-405-3778
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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