| Gloryland Healthcare Services Llc | |
|
928 Long Manor Dr Middle River MD 21220-1700 | |
| (443) 882-5557 | |
| Not Available |
| Full Name | Gloryland Healthcare Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 928 Long Manor Dr, Middle River, Maryland |
| Authorized Official Name and Position | Delphine E Ikpasaja (PROVIDER) |
| Authorized Official Contact | 4438825557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloryland Healthcare Services Llc 928 Long Manor Dr Middle River MD 21220-1700 Ph: (443) 882-5557 | Gloryland Healthcare Services Llc 928 Long Manor Dr Middle River MD 21220-1700 Ph: (443) 882-5557 |
| NPI Number | 1992325252 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 01/25/2021 |
| Medicare PECOS PAC ID | 9133533847 |
|---|---|
| Medicare Enrollment ID | O20210120002207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992325252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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