NPI 1003630823

Vidahealth Care INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gwynn Oak, MD

Practice location

Address: 3410 Kelox Rd, Gwynn Oak, MD 21207-6203
Phone: (443) 627-3104

Authorised official

Name: Isaac Fadeyibi
Title: Ceo
Phone: (443) 627-3104

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Maryland →

Registry record

NPI: 1003630823
Entity type: Organization
NPI issued: 8 Nov 2024
Record last updated: 8 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.