| My Father's Heart, Inc. | |
|
4017 Bonner Rd Baltimore MD 21216-1207 | |
| (410) 245-1644 | |
| Not Available |
| Full Name | My Father's Heart, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4017 Bonner Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Michael Anthony Wainwright (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4102451644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Father's Heart, Inc. 3112 E Biddle St Baltimore MD 21213-3920 Ph: (410) 245-1644 | My Father's Heart, Inc. 4017 Bonner Rd Baltimore MD 21216-1207 Ph: (410) 245-1644 |
| NPI Number | 1134967375 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134967375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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