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11720 Beltsville Dr Ste 500-a19 Beltsville MD 20705-3166 | |
| (877) 828-8419 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
| Location | 11720 Beltsville Dr Ste 500-a19, Beltsville, Maryland |
| Authorized Official Name and Position | Ebelechukwu Elochukwu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2407666823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 19616 Baltimore MD 21225-0616 Ph: () - | 11720 Beltsville Dr Ste 500-a19 Beltsville MD 20705-3166 Ph: (877) 828-8419 |
| NPI Number | 1548965577 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548965577 | NPI | - | NPPES |
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