| Avawell, Llc | |
|
1308 Business Center Way Ste 101 Edgewood MD 21040-1504 | |
| (410) 676-0841 | |
| (410) 676-0950 |
| Full Name | Avawell, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1308 Business Center Way Ste 101, Edgewood, Maryland |
| Authorized Official Name and Position | James Omotosho (OWNER) |
| Authorized Official Contact | 4439925088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avawell, Llc 1308 Business Center Way Ste 101 Edgewood MD 21040-1504 Ph: (410) 676-0841 | Avawell, Llc 1308 Business Center Way Ste 101 Edgewood MD 21040-1504 Ph: (410) 676-0841 |
| NPI Number | 1568064764 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568064764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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