| Realitycare Health Services | |
|
1705 Reisterstown Rd Ste 200 Baltimore MD 21208-2914 | |
| (443) 772-5454 | |
| (410) 496-4171 |
| Full Name | Realitycare Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1705 Reisterstown Rd Ste 200, Baltimore, Maryland |
| Authorized Official Name and Position | Gloria Nnah (PROVIDER) |
| Authorized Official Contact | 4439290892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Realitycare Health Services 1705 Reisterstown Rd Ste 200 Baltimore MD 21208-2914 Ph: (443) 772-5454 | Realitycare Health Services 1705 Reisterstown Rd Ste 200 Baltimore MD 21208-2914 Ph: (443) 772-5454 |
| NPI Number | 1811644008 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Certification Date | 03/07/2022 |
| Medicare PECOS PAC ID | 4385030154 |
|---|---|
| Medicare Enrollment ID | O20221116002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811644008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gloria Nkiru Nnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336803550 PECOS PAC ID: 1355735689 Enrollment ID: I20220302000043 |
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