Avawell, Llc | |
1308 Business Center Way Ste 101 Edgewood MD 21040-1504 | |
(443) 992-5088 | |
Not Available |
Full Name | Avawell, Llc |
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Speciality | Community/behavioral Health |
Location | 1308 Business Center Way Ste 101, Edgewood, Maryland |
Authorized Official Name and Position | James Omotosho (OWNER) |
Authorized Official Contact | 4439925088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avawell, Llc 1308 Business Center Way Ste 101 Edgewood MD 21040-1504 Ph: () - | Avawell, Llc 1308 Business Center Way Ste 101 Edgewood MD 21040-1504 Ph: (443) 992-5088 |
NPI Number | 1508387374 |
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Provider Enumeration Date | 07/03/2017 |
Last Update Date | 11/09/2022 |
Certification Date | 11/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508387374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Maryland) | Primary |
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