| Recover Healthcare Services Llc | |
|
11571 Laurelwalk Dr Laurel MD 20708-3001 | |
| (240) 646-2414 | |
| Not Available |
| Full Name | Recover Healthcare Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11571 Laurelwalk Dr, Laurel, Maryland |
| Authorized Official Name and Position | Taiwo Olafunmi Adeyemo (NURSE PRACTITIONER) |
| Authorized Official Contact | 2406462414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recover Healthcare Services Llc 11571 Laurelwalk Dr Laurel MD 20708-3001 Ph: (240) 646-2414 | Recover Healthcare Services Llc 11571 Laurelwalk Dr Laurel MD 20708-3001 Ph: (240) 646-2414 |
| NPI Number | 1700500998 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 01/31/2023 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 3678931441 |
|---|---|
| Medicare Enrollment ID | O20230627000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700500998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Taiwo O Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669945879 PECOS PAC ID: 4587022355 Enrollment ID: I20230627000926 |
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