| Genesis Healthcare Inc | |
|
8509 Glen Michael Ln Apt T3 Randallstown MD 21133-5227 | |
| (410) 258-0565 | |
| Not Available |
| Full Name | Genesis Healthcare Inc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8509 Glen Michael Ln Apt T3, Randallstown, Maryland |
| Authorized Official Name and Position | Bolaji Olugboja (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4102580565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Healthcare Inc 8509 Glen Michael Ln Apt T3 Randallstown MD 21133-5227 Ph: (410) 258-0565 | Genesis Healthcare Inc 8509 Glen Michael Ln Apt T3 Randallstown MD 21133-5227 Ph: (410) 258-0565 |
| NPI Number | 1265295125 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265295125 | NPI | - | NPPES |
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