| Dukes Loft Llc | |
|
1604 Roundhill Rd Baltimore MD 21218-2213 | |
| (410) 989-2083 | |
| Not Available |
| Full Name | Dukes Loft Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1604 Roundhill Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Tiffany Hounshell (CEO) |
| Authorized Official Contact | 4434155244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dukes Loft Llc 9613 Harford Rd Ste C1117 Baltimore MD 21234-2150 Ph: () - | Dukes Loft Llc 1604 Roundhill Rd Baltimore MD 21218-2213 Ph: (410) 989-2083 |
| NPI Number | 1720807639 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720807639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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