Healthcare Provider Details

I. General information

NPI: 1518870039
Provider Name (Legal Business Name): AJAEO HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 COURTLEIGH DR
RANDALLSTOWN MD
21133-4807
US

IV. Provider business mailing address

3616 COURTLEIGH DR
RANDALLSTOWN MD
21133-4807
US

V. Phone/Fax

Practice location:
  • Phone: 443-904-9344
  • Fax:
Mailing address:
  • Phone: 443-904-9344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. OLATUNDE MICHAEL OLADEJO
Title or Position: MD
Credential:
Phone: 443-904-9344