| Angelic Community Support Services | |
|
9428 Fens Hollow Laurel MD 20723-5735 | |
| (240) 406-0073 | |
| Not Available |
| Full Name | Angelic Community Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9428 Fens Hollow, Laurel, Maryland |
| Authorized Official Name and Position | Lawrence Ahwireng (CO-OWNER) |
| Authorized Official Contact | 2404060073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelic Community Support Services 9428 Fens Hollow Laurel MD 20723-5735 Ph: (240) 406-0073 | Angelic Community Support Services 9428 Fens Hollow Laurel MD 20723-5735 Ph: (240) 406-0073 |
| NPI Number | 1992494264 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992494264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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