Grey Phoenix LLC

NPI #1609663368 in Odenton, Maryland

Provider Information

NPI Number: 1609663368
Entity Type: Organization
Organization Name: Grey Phoenix LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GREY PHOENIX LLC
Primary Specialty: Home Health
Enumeration Date: Apr 24, 2025
Last Updated: May 2, 2025

Practice Location

Address: 2689 ORCHARD ORIOLE WAY
City: Odenton
State: Maryland
ZIP Code: 21113-3120
Phone: (202) 681-9190

Authorized Official

Name: OLADIPUPO ADENUBI
Title: MD/ CEO
Phone: (202) 681-9190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X
Home Health	251E00000X	Primary

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