| Keystone Healthcare Services Llc | |
|
6301 Ivy Ln Ste 310 Greenbelt MD 20770-6366 | |
| (240) 593-2972 | |
| Not Available |
| Full Name | Keystone Healthcare Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6301 Ivy Ln Ste 310, Greenbelt, Maryland |
| Authorized Official Name and Position | Florence O Alli (PRESIDENT) |
| Authorized Official Contact | 2405932972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Healthcare Services Llc 9415 Royal Path Cv Laurel MD 20723-1689 Ph: (240) 593-2972 | Keystone Healthcare Services Llc 6301 Ivy Ln Ste 310 Greenbelt MD 20770-6366 Ph: (240) 593-2972 |
| NPI Number | 1437732484 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 7416356696 |
|---|---|
| Medicare Enrollment ID | O20210519002417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437732484 | NPI | - | NPPES |
| Provider Name | Florence Oluranti Alli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760887517 PECOS PAC ID: 7810209954 Enrollment ID: I20150702001649 |
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