; NPI #1962168872

Contact Information

ODOEMENAM B UZOMA

1232 RACE RD STE 101
ROSEDALE, MD 21237-2362

Phone: 410-448-0500
Fax: 443-836-4343
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Home Health	251E00000X	A4[11]	Home Health Agency

Indicates primary specialty

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NPI Profile & details for

NPI # 1962168872

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 11/15/2021

Last updated 11/15/2021 - About 5 years ago

Identifiers

License #

DD0405

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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Contact Information

Specialty

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

Home Health

NPI Profile & details for

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