NPI 1134909609

Elevate Premier Support INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Eldersburg, MD

Practice location

Address: 1332 Londontown Blvd STE 115h, Eldersburg, MD 21784-6587
Phone: (443) 627-1654

Authorised official

Name: Morufu Fagbenro
Title: Director
Phone: (443) 627-1654

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1134909609
Entity type: Organization
NPI issued: 3 Oct 2023
Record last updated: 3 Oct 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.

Contact

(443) 627-1654 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

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