National Provider Identifier Database

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

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

LUMINANCE SUPPORT SERVICES
216 E LEXINGTON ST
BALTIMORE, MD21202-3501
Phone: 410-801-9011
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for LUMINANCE SUPPORT SERVICES

NPI Number 1831978543
Legal business name
LBN
LUMINANCE SUPPORT SERVICES
Authorized official OLUWAKEMI OGUNSEYE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/22/2023
Last updated 09/22/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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