| United Family Mission Incorporation | |
|
8700 Central Ave Landover MD 20785-4831 | |
| (240) 708-6529 | |
| (240) 539-4075 |
| Full Name | United Family Mission Incorporation |
|---|---|
| Speciality | Social Worker |
| Location | 8700 Central Ave, Landover, Maryland |
| Authorized Official Name and Position | Oluremi Agbaje (OWNER) |
| Authorized Official Contact | 2404671406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Family Mission Incorporation 10230 Chautauqua Ave Lanham MD 20706-2039 Ph: (240) 467-1406 | United Family Mission Incorporation 8700 Central Ave Landover MD 20785-4831 Ph: (240) 708-6529 |
| NPI Number | 1881385193 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 7416317730 |
|---|---|
| Medicare Enrollment ID | O20231019003774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881385193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kean Go Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831543719 PECOS PAC ID: 3779848882 Enrollment ID: I20180521000229 |
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