Liberty Family Care LLC
NPI #1154098077 in Randallstown, Maryland
Provider Information
- NPI Number
- 1154098077
- Entity Type
- Organization
- Organization Name
- Liberty Family Care LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Aug 27, 2021
- Last Updated
- Dec 21, 2021
Practice Location
- Address
- 8515 LIBERTY RD STE B
- City
- Randallstown
- State
- Maryland
- ZIP Code
- 21133-4832
- Phone
- (410) 301-6767
Authorized Official
- Name
- BOLAJI OLUGBOJA, CRNP
- Title
- OWNER
- Phone
- (410) 301-6767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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