| Alpha Recovery Healthcare Services Inc. | |
|
9701 Apollo Dr Ste 293 Upper Marlboro MD 20774-4789 | |
| (240) 821-2195 | |
| (301) 390-0463 |
| Full Name | Alpha Recovery Healthcare Services Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9701 Apollo Dr Ste 293, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Ayoola Juliana Oyenuga (MENTAL HEALTH NURSE PRACTITIONER) |
| Authorized Official Contact | 2408212195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Recovery Healthcare Services Inc. 2014 Whistling Duck Dr Upper Marlboro MD 20774-7139 Ph: (240) 821-2195 | Alpha Recovery Healthcare Services Inc. 9701 Apollo Dr Ste 293 Upper Marlboro MD 20774-4789 Ph: (240) 821-2195 |
| NPI Number | 1700437829 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 9133543846 |
|---|---|
| Medicare Enrollment ID | O20200728000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700437829 | NPI | - | NPPES |
| Provider Name | Ayoola Juliana Oyenuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982172664 PECOS PAC ID: 6204169469 Enrollment ID: I20190604001052 |
| Provider Name | Kerniba Ghoneim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568036382 PECOS PAC ID: 0749679231 Enrollment ID: I20211123001756 |
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