Allover Healthcare Group Llc | |
5450 Reisterstown Rd Ste 304 Baltimore MD 21215-4434 | |
(410) 908-2710 | |
Not Available |
Full Name | Allover Healthcare Group Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 5450 Reisterstown Rd Ste 304, Baltimore, Maryland |
Authorized Official Name and Position | Emiosho Okojie (CEO) |
Authorized Official Contact | 4109082710 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Allover Healthcare Group Llc 5450 Reisterstown Rd Ste 304 Baltimore MD 21215-4434 Ph: (410) 908-2710 | Allover Healthcare Group Llc 5450 Reisterstown Rd Ste 304 Baltimore MD 21215-4434 Ph: (410) 908-2710 |
NPI Number | 1881146199 |
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Provider Enumeration Date | 11/03/2016 |
Last Update Date | 06/10/2017 |
Medicare PECOS PAC ID | 3779817093 |
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Medicare Enrollment ID | O20190620000953 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881146199 | NPI | - | NPPES |
05 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2198 (Maryland) | Primary |
Provider Name | Kelvinda Kamara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851641955 PECOS PAC ID: 6002050481 Enrollment ID: I20130925000575 |
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