| Integritas Health Services, Llc | |
|
611 Tinker Rd Middle River MD 21220-3773 | |
| (443) 850-9648 | |
| Not Available |
| Full Name | Integritas Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 Tinker Rd, Middle River, Maryland |
| Authorized Official Name and Position | Dave Adeleye (PRINCIPAL) |
| Authorized Official Contact | 4438509648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integritas Health Services, Llc 611 Tinker Rd Middle River MD 21220-3773 Ph: (443) 850-9648 | Integritas Health Services, Llc 611 Tinker Rd Middle River MD 21220-3773 Ph: (443) 850-9648 |
| NPI Number | 1922578632 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 11/26/2018 |
| Medicare PECOS PAC ID | 7113265109 |
|---|---|
| Medicare Enrollment ID | O20190218001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922578632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dave A Adeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477031110 PECOS PAC ID: 8022356013 Enrollment ID: I20190218001489 |
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