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General NPI Number Information
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NPI Number | 1659215218
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Entity Type | Organization
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Legal Business Name | PRIMELIGHT CRADLE CARE SERVISES
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1319 WOODBRIDGE STATION WAY # 101A
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City | EDGEWOOD
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State | MD
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Zip | 21040-3852
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Country | US
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Telephone | 443-857-7985
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Fax | 443-377-3228
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Provider Business Mailing Address
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Address Line | 21 GREENVIEW DR
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City | SHREWSBURY
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State | PA
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Zip | 17361-1240
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Country | US
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Telephone | 443-857-7985
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Fax | 443-377-3228
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Authorized Official
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Title or Position | CEO
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Name | SHAKIRAT OLABISI AROWOROWON
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Credential | AROWOROWON
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Telephone | 443-857-7975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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