Alpha-One Healthcare LLC
Community/Behavioral Health in Beltsville, MD. Organization (NPI-2).
NPI number1194436410
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1194436410
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha-One Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Dec 7, 2022
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5020 Sunnyside Ave Ste 110Beltsville, MD 20705-2307
Phone 240-486-6007
Mailing address
12649 Heming LnBowie, MD 20716-1118
Phone 240-456-9912
Authorized official
Olufemi Adedeji
Administrator
2404866007
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