person
Mr. Famous Iwinosa Osasuyi
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in White Marsh, Maryland
NPI 1902268352

Famous Iwinosa Osasuyi is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in White Marsh, MD. Famous Iwinosa Osasuyi practices in White Marsh, MD. The NPI Number for Famous Iwinosa Osasuyi is 1902268352 and holds a License No. (Maryland).

The current practice location address for Famous Iwinosa Osasuyi is 11555 Autumn Terrace Dr, White Marsh, MD and can be reached out via phone at 443-226-6339 and via fax at 443-919-0209.

Location: 11555 Autumn Terrace Dr, White Marsh, MD, 21162-1152
person
Provider Profile Details
NPI Number
1902268352
Provider Name
Famous Iwinosa Osasuyi
Credential
Provider Entity Type
Individual
Gender
Male
Address
11555 Autumn Terrace Dr, White Marsh, MD, 21162-1152
Phone Number
443-226-6339
Fax Number
443-919-0209
Provider Enumeration Date
03/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11555 Autumn Terrace Dr
City
State
Zip
21162-1152
Phone Number
443-226-6339
Fax Number
443-919-0209
person
Provider Business Mailing Address Details
Address
11555 Autumn Terrace Dr
City
State
Zip
21162-1152
Phone Number
443-226-6339
Fax Number
443-919-0209
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Maryland)
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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