Provider Demographics
NPI:1437873452
Name:COZY HORIZONS SUPPORTED LIVING
Entity Type:Organization
Organization Name:COZY HORIZONS SUPPORTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOSUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUSANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-437-3550
Mailing Address - Street 1:7918 JONES BRANCH DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3319
Mailing Address - Country:US
Mailing Address - Phone:703-946-1664
Mailing Address - Fax:
Practice Address - Street 1:7918 JONES BRANCH DR STE 400
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3319
Practice Address - Country:US
Practice Address - Phone:703-946-1664
Practice Address - Fax:703-894-3351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care