| Icare 360 | |
|
2505 Lord Baltimore Dr Ste F&g Windsor Mill MD 21244-2673 | |
| (443) 221-0542 | |
| Not Available |
| Full Name | Icare 360 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2505 Lord Baltimore Dr Ste F&g, Windsor Mill, Maryland |
| Authorized Official Name and Position | Adetunji Adewumi (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 4432210542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare 360 508 Bull Run Rd Taneytown MD 21787-2658 Ph: (443) 221-0542 | Icare 360 2505 Lord Baltimore Dr Ste F&g Windsor Mill MD 21244-2673 Ph: (443) 221-0542 |
| NPI Number | 1073272241 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073272241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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