| Tehila Healthcare Llc | |
|
5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 | |
| (410) 941-3727 | |
| Not Available |
| Full Name | Tehila Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5457 Twin Knolls Rd Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Favour Ofoegbu (PROVIDER) |
| Authorized Official Contact | 4434929803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tehila Healthcare Llc 5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 Ph: (410) 941-3727 | Tehila Healthcare Llc 5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 Ph: (410) 941-3727 |
| NPI Number | 1790486314 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Medicare PECOS PAC ID | 7810353125 |
|---|---|
| Medicare Enrollment ID | O20230511001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790486314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Favour Ofoegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891036604 PECOS PAC ID: 6709276496 Enrollment ID: I20211213001844 |
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