| Livinghope Health Services Llc | |
|
304 Loganwood Ct Joppa MD 21085-3004 | |
| (443) 695-2807 | |
| Not Available |
| Full Name | Livinghope Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 304 Loganwood Ct, Joppa, Maryland |
| Authorized Official Name and Position | Monica Mba (OWNER) |
| Authorized Official Contact | 4436952807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livinghope Health Services Llc 304 Loganwood Ct Joppa MD 21085-3004 Ph: (443) 695-2807 | Livinghope Health Services Llc 304 Loganwood Ct Joppa MD 21085-3004 Ph: (443) 695-2807 |
| NPI Number | 1194310714 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 03/05/2021 |
| Certification Date | 03/05/2021 |
| Medicare PECOS PAC ID | 0244647030 |
|---|---|
| Medicare Enrollment ID | O20210323000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194310714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Monica Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467099663 PECOS PAC ID: 6204265903 Enrollment ID: I20200401000146 |
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