Mr. Famous Iwinosa Osasuyi

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1902268352

Mr. Famous Iwinosa Osasuyi is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in White Marsh, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in: MD
In the registry since: 2016

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Practice location Address checks out

11555 Autumn Terrace Dr
White Marsh, MD 21162-1152
Phone: (443) 226-6339
Fax: (443) 919-0209

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X (MD)

Record details

NPI number	1902268352
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	March 24, 2016
Last updated in NPPES	March 24, 2016