| Horizon Wellness Llc | |
|
1215 Annapolis Rd Ste 101 Odenton MD 21113-1334 | |
| (410) 220-4449 | |
| (301) 576-5715 |
| Full Name | Horizon Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1215 Annapolis Rd Ste 101, Odenton, Maryland |
| Authorized Official Name and Position | Nkiru Smith (OWNER) |
| Authorized Official Contact | 3013836834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Wellness Llc 1215 Annapolis Rd Ste 101 Odenton MD 21113-1334 Ph: (410) 220-4449 | Horizon Wellness Llc 1215 Annapolis Rd Ste 101 Odenton MD 21113-1334 Ph: (410) 220-4449 |
| NPI Number | 1669123360 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 0143644534 |
|---|---|
| Medicare Enrollment ID | O20230428001590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669123360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nkiru Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205332814 PECOS PAC ID: 4385868884 Enrollment ID: I20201217000015 |
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