OrganizationActive
Beulah Healthcare Services Inc.
NPI 1386990778 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Upper Marlboro, MD
Provider details
- NPI number
- 1386990778
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Oluwakemi Ogunmola, President(301) 257-5788
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
4103 Bridle Ridge Rd
Upper Marlboro, MD 20772-8049
Phone: (301) 257-5788
Fax: (301) 627-3234
Approximate (ZIP-level) locationGet directions
Mailing address
4103 Bridle Ridge Rd
Upper Marlboro, MD 20772-8049
Registry dates
- Enumerated
- 2012-08-03
- Last updated
- 2012-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.