NPI 1043917560
Family Life Foundation Incorporation
Practice location
- Address
- 11721 Reisterstown Rd, Reisterstown, MD 21136-3320
- Phone
- (443) 405-3744
- Fax
- (443) 405-3778
Authorised official
- Name
- Elizabeth Adebodun Owolabi
- Title
- Ceo
- Phone
- (443) 985-7590
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1043917560
- Entity type
- Organization
- NPI issued
- 15 Feb 2023
- Record last updated
- 15 Feb 2023
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.