Provider Demographics
NPI:1073774329
Name:ONE FAMILY, CORPORATION
Entity Type:Organization
Organization Name:ONE FAMILY, CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:OSATO
Authorized Official - Last Name:IGBINEDION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-710-5598
Mailing Address - Street 1:5417 PEMBROKE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3528
Mailing Address - Country:US
Mailing Address - Phone:410-444-7642
Mailing Address - Fax:
Practice Address - Street 1:5417 PEMBROKE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3528
Practice Address - Country:US
Practice Address - Phone:410-444-7642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies