My Family Medical Care Center, LLC
Clinic/Center in Laurel, MD. Organization (NPI-2).
NPI number1245502012
StatusActive
Last updated in NPPESMar 20, 2012
Details
- NPI
- 1245502012
- Entity type
- Organization (NPI-2)
- Legal business name
- My Family Medical Care Center, LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2012
- Last updated
- Mar 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
14201 Laurel Park DrSuite 102a
Laurel, MD 20707-5203
Phone 301-490-6341 · Fax 301-490-6343
Mailing address
14201 Laurel Park DrSuite 102a
Laurel, MD 20707-5203
Phone 301-490-6341 · Fax 301-490-6343
Authorized official
Timothy Omenonye Ehiabor
Owner
8322627028
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