OrganizationActive
Agnes Support Services Inc
NPI 1841079274 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Frederick, MD
Provider details
- NPI number
- 1841079274
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Oluwaseun Oyinkolade, Director(667) 273-0675
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
5100 Buckeystown Pike Ste 250-212
Frederick, MD 21704-8336
Phone: (667) 273-0675
Approximate (ZIP-level) locationGet directions
Mailing address
5100 Buckeystown Pike Ste 250-212
Frederick, MD 21704-8336
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.