| Mannacare Medical | |
|
3101 W Elm St Ste 300 Lima OH 45805-2555 | |
| (419) 673-7754 | |
| (419) 933-2619 |
| Full Name | Mannacare Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 3101 W Elm St Ste 300, Lima, Ohio |
| Authorized Official Name and Position | Abigail Akyeampong (PRESIDENT) |
| Authorized Official Contact | 7408185248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mannacare Medical 3101 W Elm St Ste 300 Lima OH 45805-2555 Ph: (419) 673-7754 | Mannacare Medical 3101 W Elm St Ste 300 Lima OH 45805-2555 Ph: (419) 673-7754 |
| NPI Number | 1851050843 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 5698168060 |
|---|---|
| Medicare Enrollment ID | O20220207001949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851050843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Abigail Eli Akyeampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194120584 PECOS PAC ID: 8325360035 Enrollment ID: I20141209000646 |
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