Promise Acres Wellness Center | |
9830 Bridle Brook Dr Owings Mills MD 21117-4849 | |
(443) 898-3708 | |
Not Available |
Full Name | Promise Acres Wellness Center |
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Speciality | Clinic/Center |
Location | 9830 Bridle Brook Dr, Owings Mills, Maryland |
Authorized Official Name and Position | Millicent Chukwuka (PROVIDER) |
Authorized Official Contact | 4438983708 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Promise Acres Wellness Center 9830 Bridle Brook Dr Owings Mills MD 21117-4849 Ph: (443) 898-3708 | Promise Acres Wellness Center 9830 Bridle Brook Dr Owings Mills MD 21117-4849 Ph: (443) 898-3708 |
NPI Number | 1619748373 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 01/11/2024 |
Certification Date | 01/11/2024 |
Medicare PECOS PAC ID | 8123470499 |
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Medicare Enrollment ID | O20240123001092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619748373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Millicent Lotam Chukwuka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255935094 PECOS PAC ID: 5395124069 Enrollment ID: I20220627001936 |
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