| Micasa Sucasa | |
|
780 Elkridge Landing Rd Ste 103 Linthicum Heights MD 21090-2911 | |
| (410) 227-8002 | |
| Not Available |
| Full Name | Micasa Sucasa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 780 Elkridge Landing Rd Ste 103, Linthicum Heights, Maryland |
| Authorized Official Name and Position | Marcia Bailey (CEO/OWNER) |
| Authorized Official Contact | 4102278002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micasa Sucasa 780 Elkridge Landing Rd Ste 103 Linthicum Heights MD 21090-2911 Ph: (410) 227-8002 | Micasa Sucasa 780 Elkridge Landing Rd Ste 103 Linthicum Heights MD 21090-2911 Ph: (410) 227-8002 |
| NPI Number | 1942922166 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942922166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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