Blissful Days Psychiatric Services Llc | |
12331 Quilt Patch Ln Bowie MD 20720-4358 | |
(707) 266-4997 | |
Not Available |
Full Name | Blissful Days Psychiatric Services Llc |
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Speciality | Clinic/Center |
Location | 12331 Quilt Patch Ln, Bowie, Maryland |
Authorized Official Name and Position | Nneka Wogu (PRESIDENT) |
Authorized Official Contact | 7072664997 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Blissful Days Psychiatric Services Llc 12331 Quilt Patch Ln Bowie MD 20720-4358 Ph: (707) 266-4997 | Blissful Days Psychiatric Services Llc 12331 Quilt Patch Ln Bowie MD 20720-4358 Ph: (707) 266-4997 |
NPI Number | 1740045939 |
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Provider Enumeration Date | 02/16/2024 |
Last Update Date | 02/16/2024 |
Certification Date | 02/16/2024 |
Medicare PECOS PAC ID | 6204271067 |
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Medicare Enrollment ID | O20240301003806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740045939 | NPI | - | NPPES |
Provider Name | Nneka Wogu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215649686 PECOS PAC ID: 4284083502 Enrollment ID: I20240301003820 |
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