| Royal Minds Rehabilitation Services | |
|
3719 E Baltimore St Baltimore MD 21224-1509 | |
| (410) 943-2424 | |
| Not Available |
| Full Name | Royal Minds Rehabilitation Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3719 E Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Al Muftau A Adeite (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2404861238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Minds Rehabilitation Services 3719 E Baltimore St Baltimore MD 21224-1509 Ph: (410) 943-2424 | Royal Minds Rehabilitation Services 3719 E Baltimore St Baltimore MD 21224-1509 Ph: (410) 943-2424 |
| NPI Number | 1659934503 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 6103200878 |
|---|---|
| Medicare Enrollment ID | O20220830000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659934503 | NPI | - | NPPES |
| Provider Name | Olukemi R Omogoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801365689 PECOS PAC ID: 2365782729 Enrollment ID: I20220309003149 |
| Provider Name | Al M Adeite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639686314 PECOS PAC ID: 2466836135 Enrollment ID: I20220830000050 |
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