| Bon Ridge Wellness, Llc | |
|
8503 Greens Ln Windsor Mill MD 21244-1124 | |
| (443) 629-2424 | |
| Not Available |
| Full Name | Bon Ridge Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8503 Greens Ln, Windsor Mill, Maryland |
| Authorized Official Name and Position | Quizzina Forney (OWNER) |
| Authorized Official Contact | 4436292424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Ridge Wellness, Llc 8503 Greens Ln Windsor Mill MD 21244-1124 Ph: (443) 629-2424 | Bon Ridge Wellness, Llc 8503 Greens Ln Windsor Mill MD 21244-1124 Ph: (443) 629-2424 |
| NPI Number | 1922710995 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Medicare PECOS PAC ID | 1951775337 |
|---|---|
| Medicare Enrollment ID | O20230327000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922710995 | NPI | - | NPPES |
| Provider Name | Quizzina Mae Forney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124253802 PECOS PAC ID: 4486080082 Enrollment ID: I20200130000034 |
| Provider Name | Ifeyinwa V Nworji-amah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134819345 PECOS PAC ID: 9335681964 Enrollment ID: I20240613000251 |
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