ODOEMENAM BENNETH UZOMA

NPI: 1962168872 · Individual · Active

Primary Specialty

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

Practice Location

1232 RACE RD STE 101
ROSEDALE, MD 21237-2362 Map ↗
Phone: 410-448-0500
Fax: 443-836-4343

All Specialties & Licenses

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary (license: DD0405, MD)
  • Home Health Agency (license: DD0405, MD)

NPI Registration

Enumerated: 2021-11-15

Last CMS Update: 2021-11-15