| Restoration Llc | |
|
2 W Rolling Xrds Ste 207 Catonsville MD 21228-6211 | |
| (443) 851-9085 | |
| (443) 820-3026 |
| Full Name | Restoration Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 W Rolling Xrds Ste 207, Catonsville, Maryland |
| Authorized Official Name and Position | Olayemi E Olajuyigbe (CEO) |
| Authorized Official Contact | 4435386352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Llc 2 W Rolling Xrds Ste 207 Catonsville MD 21228-6211 Ph: (443) 851-9085 | Restoration Llc 2 W Rolling Xrds Ste 207 Catonsville MD 21228-6211 Ph: (443) 851-9085 |
| NPI Number | 1043830474 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Medicare PECOS PAC ID | 5496179988 |
|---|---|
| Medicare Enrollment ID | O20200716002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043830474 | NPI | - | NPPES |
| Provider Name | Olayemi Olajuyigbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073170205 PECOS PAC ID: 8820320880 Enrollment ID: I20191024002992 |
| Provider Name | Bolanle Olajuyigbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831961432 PECOS PAC ID: 2163868159 Enrollment ID: I20240313000940 |
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