| King Health Systems, Inc | |
|
14201 Laurel Park Dr Ste 206 Laurel MD 20707-5203 | |
| (301) 725-5464 | |
| Not Available |
| Full Name | King Health Systems, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14201 Laurel Park Dr Ste 206, Laurel, Maryland |
| Authorized Official Name and Position | Sule Salako (CEO) |
| Authorized Official Contact | 2025450021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Health Systems, Inc 3502 W Rogers Ave Ste 1 Baltimore MD 21215-4749 Ph: (410) 578-4340 | King Health Systems, Inc 14201 Laurel Park Dr Ste 206 Laurel MD 20707-5203 Ph: (301) 725-5464 |
| NPI Number | 1104433945 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Certification Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104433945 | NPI | - | NPPES |
| 200109440 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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