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Search › Maryland › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Famous Osasuyi

NPI 1902268352 · on the registry since 2016 · sole proprietor

Practice

Address
11555 Autumn Terrace Dr
White Marsh, MD 21162
Phone
(443) 226-6339
Fax
(443) 919-0209

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland