Vidahealth Care INC

NPI #1003630823 in Gwynn Oak, Maryland

Provider Information

NPI Number: 1003630823
Entity Type: Organization
Organization Name: Vidahealth Care INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 8, 2024
Last Updated: Nov 8, 2024

Practice Location

Address: 3410 KELOX RD
City: Gwynn Oak
State: Maryland
ZIP Code: 21207-6203
Phone: (443) 627-3104

Authorized Official

Name: DR. ISAAC FADEYIBI, PH.D.
Title: CEO
Phone: (443) 627-3104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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