| Favor Loving Care | |
|
14502 Greenview Dr Ste 427 Laurel MD 20708-3287 | |
| (240) 626-3286 | |
| Not Available |
| Full Name | Favor Loving Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 14502 Greenview Dr Ste 427, Laurel, Maryland |
| Authorized Official Name and Position | Jemima Frimpong Kodua (NURSE / RN, BSN, MSN, DNP) |
| Authorized Official Contact | 2406263286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Favor Loving Care 1117 Futurity St Frederick MD 21702-2358 Ph: (240) 626-3286 | Favor Loving Care 14502 Greenview Dr Ste 427 Laurel MD 20708-3287 Ph: (240) 626-3286 |
| NPI Number | 1295584050 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 11/26/2021 |
| Medicare PECOS PAC ID | 9436591658 |
|---|---|
| Medicare Enrollment ID | O20240520002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295584050 | NPI | - | NPPES |
| Provider Name | Jemima Frimpong Kodua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831966308 PECOS PAC ID: 0345682563 Enrollment ID: I20240520002688 |
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