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Mr. Efetobore Omadevuae
Assisted Living Facility (Mental Illness) in Gwynn Oak, Maryland
NPI 1275397556

Efetobore Omadevuae is an Assisted Living Facility (Mental Illness) based in Rosedale, MD and is specialized in Assisted Living, Mental Illness. Efetobore Omadevuae practices in Gwynn Oak, MD. The NPI Number for Efetobore Omadevuae is 1275397556 and holds a License No. (Maryland).

The current practice location address for Efetobore Omadevuae is 9 Pineknot Ct, Gwynn Oak, MD and can be reached out via phone at 443-739-1209.

Location: 9 Pineknot Ct, Gwynn Oak, MD, 21237-3871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275397556
Provider Name
Efetobore Omadevuae
Credential
Provider Entity Type
Individual
Gender
Male
Address
9 Pineknot Ct, Gwynn Oak, MD, 21237-3871
Phone Number
443-739-1209
Fax Number
Provider Enumeration Date
02/07/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9 Pineknot Ct
City
Gwynn Oak
State
Maryland
Zip
21207-5585
Phone Number
443-739-1209
Fax Number
person
Provider Business Mailing Address Details
Address
9 Pineknot Ct
City
Gwynn Oak
State
Maryland
Zip
21207-5585
Phone Number
443-739-1209
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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