Individual provider · Type 1 NPI
Famous Iwinosa Osasuyi
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · White Marsh, MD
Practice location
11555 Autumn Terrace Dr
White Marsh, MD 21162-1152
Fax (443) 919-0209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1902268352
Famous Iwinosa Osasuyi's National Provider Identifier is 1902268352, issued on Mar 24, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in White Marsh, MD. The record was last updated on Mar 24, 2016.