| Balm Of Gilead Health & Wellness Center, Llc | |
|
107 Beacon Rd Middle River MD 21220-3504 | |
| (443) 868-7405 | |
| Not Available |
| Full Name | Balm Of Gilead Health & Wellness Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 107 Beacon Rd, Middle River, Maryland |
| Authorized Official Name and Position | Chinwe Okudo (CEO) |
| Authorized Official Contact | 3016552927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balm Of Gilead Health & Wellness Center, Llc 9863 Decatur Rd Middle River MD 21220-3776 Ph: (301) 655-2927 | Balm Of Gilead Health & Wellness Center, Llc 107 Beacon Rd Middle River MD 21220-3504 Ph: (443) 868-7405 |
| NPI Number | 1932765146 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 6507190956 |
|---|---|
| Medicare Enrollment ID | O20190619001249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932765146 | NPI | - | NPPES |
| 1730639535 | Medicaid | MD | |
| N90612 | Other | MD | CDS |
| R198702 | Other | MD | MBON |
| Provider Name | Chinwe M Okudo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730639535 PECOS PAC ID: 8022397553 Enrollment ID: I20170825002266 |
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