| Abundant Healthcare Services Inc | |
|
8955 Edmonston Rd Unit F&h Greenbelt MD 20770-1006 | |
| (301) 792-0855 | |
| (301) 552-9381 |
| Full Name | Abundant Healthcare Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8955 Edmonston Rd Unit F&h, Greenbelt, Maryland |
| Authorized Official Name and Position | Oyesola Omowunmi Akintan-adaji (CEO) |
| Authorized Official Contact | 3017920855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Healthcare Services Inc 17307 Russet Dr Bowie MD 20716-3604 Ph: (301) 792-0855 | Abundant Healthcare Services Inc 8955 Edmonston Rd Unit F&h Greenbelt MD 20770-1006 Ph: (301) 792-0855 |
| NPI Number | 1831759984 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Medicare PECOS PAC ID | 2466783907 |
|---|---|
| Medicare Enrollment ID | O20191014002794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831759984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Oyesola Akintan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760712913 PECOS PAC ID: 9739333725 Enrollment ID: I20130128000436 |
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