| Enfield Locke Care Resources Inc | |
|
405 Frederick Rd Ste 158 Catonsville MD 21228-4633 | |
| (443) 558-6938 | |
| Not Available |
| Full Name | Enfield Locke Care Resources Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 405 Frederick Rd Ste 158, Catonsville, Maryland |
| Authorized Official Name and Position | Temidayo A Ogundiran (CEO) |
| Authorized Official Contact | 4435586938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enfield Locke Care Resources Inc 405 Frederick Rd Ste 158 Catonsville MD 21228-4633 Ph: () - | Enfield Locke Care Resources Inc 405 Frederick Rd Ste 158 Catonsville MD 21228-4633 Ph: (443) 558-6938 |
| NPI Number | 1588374565 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 5395185565 |
|---|---|
| Medicare Enrollment ID | O20240506000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588374565 | NPI | - | NPPES |
| Provider Name | Osereme Nora Agboifo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750989042 PECOS PAC ID: 4183032881 Enrollment ID: I20210419001216 |
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