| Family Life Foundation Inc | |
|
11721 Reisterstown Rd Reisterstown MD 21136-3320 | |
| (443) 405-3744 | |
| (443) 405-3778 |
| Full Name | Family Life Foundation Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 11721 Reisterstown Rd, Reisterstown, Maryland |
| Authorized Official Name and Position | Elizabeth Owolabi (CEO) |
| Authorized Official Contact | 4435704860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Foundation Inc 11721 Reisterstown Rd Reisterstown MD 21136-3320 Ph: (443) 405-3744 | Family Life Foundation Inc 11721 Reisterstown Rd Reisterstown MD 21136-3320 Ph: (443) 405-3744 |
| NPI Number | 1316441223 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316441223 | NPI | - | NPPES |
| 5766138000 | Other | MD | NPI |
| 766138000 | Medicaid | MD |
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