Provider Demographics
NPI:1619310406
Name:REJOICE HEALTH SERVICES
Entity Type:Organization
Organization Name:REJOICE HEALTH SERVICES
Other - Org Name:REJOICE HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMNISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AKINTUNDE
Authorized Official - Middle Name:OMOTAYO
Authorized Official - Last Name:IKUBISEHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-665-7834
Mailing Address - Street 1:7800 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5825
Mailing Address - Country:US
Mailing Address - Phone:410-665-7834
Mailing Address - Fax:
Practice Address - Street 1:7800 WILSON AVE
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-5825
Practice Address - Country:US
Practice Address - Phone:410-665-7834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities