| Alpha New Hope Health Services Inc | |
|
2319b Maryland Ave Baltimore MD 21218-5010 | |
| (443) 759-5955 | |
| (443) 438-7809 |
| Full Name | Alpha New Hope Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2319b Maryland Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Aanu E Olorunsola (CEO) |
| Authorized Official Contact | 4375959554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha New Hope Health Services Inc 2319b Maryland Ave Baltimore MD 21218-5010 Ph: (443) 759-5955 | Alpha New Hope Health Services Inc 2319b Maryland Ave Baltimore MD 21218-5010 Ph: (443) 759-5955 |
| NPI Number | 1043838956 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Medicare PECOS PAC ID | 8527487008 |
|---|---|
| Medicare Enrollment ID | O20201002000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043838956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Aanu Elizabeth Olorunsola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659926475 PECOS PAC ID: 9436578911 Enrollment ID: I20201002000027 |
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