Mayflower Health Services Llc | |
7025 Mayfair Rd Laurel MD 20707-5229 | |
(410) 919-9587 | |
(410) 919-9588 |
Full Name | Mayflower Health Services Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 7025 Mayfair Rd, Laurel, Maryland |
Authorized Official Name and Position | Traci-shara Fields (ADMINISTRATOR) |
Authorized Official Contact | 4109199587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mayflower Health Services Llc 7025 Mayfair Rd Laurel MD 20707-5229 Ph: (410) 202-3471 | Mayflower Health Services Llc 7025 Mayfair Rd Laurel MD 20707-5229 Ph: (410) 919-9587 |
NPI Number | 1588079982 |
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Provider Enumeration Date | 06/24/2014 |
Last Update Date | 04/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588079982 | NPI | - | NPPES |
608302100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 17960 (Maryland) | Primary |
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