| Grassroots Health Care Inc | |
|
7760 Landover Rd Landover MD 20785-2135 | |
| (410) 482-4434 | |
| (949) 862-8021 |
| Full Name | Grassroots Health Care Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7760 Landover Rd, Landover, Maryland |
| Authorized Official Name and Position | Folorunso Ibraheem (PRESIDENT) |
| Authorized Official Contact | 3057769911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassroots Health Care Inc 2312 Parkside Dr Bowie MD 20721-4223 Ph: (305) 776-9911 | Grassroots Health Care Inc 7760 Landover Rd Landover MD 20785-2135 Ph: (410) 482-4434 |
| NPI Number | 1356585475 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356585475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | P09000013502 (Florida) | Primary |
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