| Good Vibes Care Llc | |
|
4105 Farmside Dr Baltimore MD 21236-1673 | |
| (443) 904-6399 | |
| (667) 309-9235 |
| Full Name | Good Vibes Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4105 Farmside Dr, Baltimore, Maryland |
| Authorized Official Name and Position | Veronica Garcia (PRESIDENT) |
| Authorized Official Contact | 4439046399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Vibes Care Llc 4105 Farmside Dr Baltimore MD 21236-1673 Ph: (443) 904-6399 | Good Vibes Care Llc 4105 Farmside Dr Baltimore MD 21236-1673 Ph: (443) 904-6399 |
| NPI Number | 1003514035 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Medicare PECOS PAC ID | 5092188441 |
|---|---|
| Medicare Enrollment ID | O20230306000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003514035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Veronica I Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851910285 PECOS PAC ID: 0143640326 Enrollment ID: I20201009001768 |
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