| Hope Haven Healthcare | |
|
1314 S Baylis St Baltimore MD 21224-5206 | |
| (443) 290-7997 | |
| Not Available |
| Full Name | Hope Haven Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1314 S Baylis St, Baltimore, Maryland |
| Authorized Official Name and Position | Oluwatoyin Omoniyi Olaleye (OWNER) |
| Authorized Official Contact | 4436166802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Haven Healthcare 9602 Maxwell Rd Middle River MD 21220-3792 Ph: (443) 616-6802 | Hope Haven Healthcare 1314 S Baylis St Baltimore MD 21224-5206 Ph: (443) 290-7997 |
| NPI Number | 1891511861 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 0749717742 |
|---|---|
| Medicare Enrollment ID | O20250102000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891511861 | NPI | - | NPPES |
| Provider Name | Oluwatoyin Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619741279 PECOS PAC ID: 3870941057 Enrollment ID: I20250102000910 |
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