| Recovery Health Professional Llc | |
|
171 Dwight Rd Ste 102 Longmeadow MA 01106-1768 | |
| (413) 824-4070 | |
| (413) 216-3304 |
| Full Name | Recovery Health Professional Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 171 Dwight Rd Ste 102, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Ema Uko-abasi (CEO) |
| Authorized Official Contact | 4138244070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Health Professional Llc 24 Grassy Meadow Rd Wilbraham MA 01095-1446 Ph: (413) 824-4070 | Recovery Health Professional Llc 171 Dwight Rd Ste 102 Longmeadow MA 01106-1768 Ph: (413) 824-4070 |
| NPI Number | 1780277368 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 9638543721 |
|---|---|
| Medicare Enrollment ID | O20230313000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780277368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Ema Uko-abasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245739341 PECOS PAC ID: 0547519464 Enrollment ID: I20230313000220 |
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