| Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc | |
|
4002 W Belvedere Ave Unit A Baltimore MD 21215-5502 | |
| (410) 984-7411 | |
| Not Available |
| Full Name | Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 4002 W Belvedere Ave Unit A, Baltimore, Maryland |
| Authorized Official Name and Position | Innocent Akpuaka (PRESIDENT) |
| Authorized Official Contact | 4109847411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc 4002 W Belvedere Ave Unit A Baltimore MD 21215-5502 Ph: () - | Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc 4002 W Belvedere Ave Unit A Baltimore MD 21215-5502 Ph: (410) 984-7411 |
| NPI Number | 1356937080 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 6305254004 |
|---|---|
| Medicare Enrollment ID | O20210419001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356937080 | NPI | - | NPPES |
| Provider Name | Osereme Nora Agboifo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750989042 PECOS PAC ID: 4183032881 Enrollment ID: I20210419001216 |
| Provider Name | Chioma C Uzoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164012795 PECOS PAC ID: 0143625251 Enrollment ID: I20210826002333 |
| Provider Name | Adaora U Nnanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294161 PECOS PAC ID: 0143506493 Enrollment ID: I20210913000077 |
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