Provider Demographics
NPI:1689438707
Name:ENFIELD LOCKE CARE RESOURCES INC
Entity Type:Organization
Organization Name:ENFIELD LOCKE CARE RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEMIDAYO
Authorized Official - Middle Name:A
Authorized Official - Last Name:OGUNDIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-558-6938
Mailing Address - Street 1:5100 BUCKEYSTOWN PIKE STE 250
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8344
Mailing Address - Country:US
Mailing Address - Phone:443-558-6938
Mailing Address - Fax:443-327-4613
Practice Address - Street 1:5100 BUCKEYSTOWN PIKE STE 250
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8344
Practice Address - Country:US
Practice Address - Phone:443-558-6938
Practice Address - Fax:443-327-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities