FAMILY LIFE FOUNDATION INCORPORATION; NPI #1043917560

Contact Information

FAMILY LIFE FOUNDATION INCORPORATION

11721 REISTERSTOWN RD
REISTERSTOWN, MD 21136-3320

Phone: 443-405-3744
Fax: 443-405-3778
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for FAMILY LIFE FOUNDATION INCORPORATION

NPI Number 1043917560

LBN Legal business name FAMILY LIFE FOUNDATION INCORPORATION

Authorized official ELIZABETH OWOLABI - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/15/2023

Last updated 02/15/2023 - About 3 years ago

Identifiers

MD	Medicaid	5766138000
MD	Medicaid	766138000
MD	Other	5766138000	NPI

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FAMILY LIFE FOUNDATION INCORPORATION

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for FAMILY LIFE FOUNDATION INCORPORATION

Reviews for FAMILY LIFE FOUNDATION INCORPORATION