| Winners Choice Healthcare Services, Llc | |
|
28 N Philadelphia Blvd Aberdeen MD 21001-2511 | |
| (443) 502-5880 | |
| Not Available |
| Full Name | Winners Choice Healthcare Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 N Philadelphia Blvd, Aberdeen, Maryland |
| Authorized Official Name and Position | Valentine Anochie (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4435025880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winners Choice Healthcare Services, Llc 28 N Philadelphia Blvd Aberdeen MD 21001-2511 Ph: (443) 502-5880 | Winners Choice Healthcare Services, Llc 28 N Philadelphia Blvd Aberdeen MD 21001-2511 Ph: (443) 502-5880 |
| NPI Number | 1295303451 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Medicare PECOS PAC ID | 9436521366 |
|---|---|
| Medicare Enrollment ID | O20230202001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295303451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Victoria C Okorie-anochie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770848939 PECOS PAC ID: 4486920188 Enrollment ID: I20171025000618 |
| Provider Name | Roxanna C Winkes Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013276286 PECOS PAC ID: 8426314873 Enrollment ID: I20171117001607 |
| Provider Name | Emery R Jefferies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265709364 PECOS PAC ID: 4082090477 Enrollment ID: I20221010000460 |
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