Provider Demographics
NPI:1700566973
Name:RIGHTPLACE FAMILY CLINIC
Entity Type:Organization
Organization Name:RIGHTPLACE FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLANIRETI
Authorized Official - Middle Name:
Authorized Official - Last Name:ONABANJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-732-1009
Mailing Address - Street 1:9650 SANTIAGO RD STE 109
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3958
Mailing Address - Country:US
Mailing Address - Phone:240-732-1009
Mailing Address - Fax:
Practice Address - Street 1:9650 SANTIAGO RD STE 109
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3958
Practice Address - Country:US
Practice Address - Phone:240-732-1009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIGHTPLACE FAMILY CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty