Transformation Health, Llc | |
312 Martin Luther King Jr Blvd Ste 300 Baltimore MD 21201-1221 | |
(443) 759-9592 | |
(443) 817-0988 |
Full Name | Transformation Health, Llc |
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Speciality | Clinic/center - Community Health |
Location | 312 Martin Luther King Jr Blvd Ste 300, Baltimore, Maryland |
Authorized Official Name and Position | Monica Laney Boddie (CEO) |
Authorized Official Contact | 4432243002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Transformation Health, Llc 376 Chessington Dr Odenton MD 21113-1319 Ph: (443) 224-3002 | Transformation Health, Llc 312 Martin Luther King Jr Blvd Ste 300 Baltimore MD 21201-1221 Ph: (443) 759-9592 |
NPI Number | 1346811197 |
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Provider Enumeration Date | 07/02/2021 |
Last Update Date | 07/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346811197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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