| Solacestar Care Llc | |
|
5620 Saint Barnabas Rd Oxon Hill MD 20745-3628 | |
| (240) 643-7073 | |
| Not Available |
| Full Name | Solacestar Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5620 Saint Barnabas Rd, Oxon Hill, Maryland |
| Authorized Official Name and Position | Esther Ejinaka (PROVIDER) |
| Authorized Official Contact | 2406437073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solacestar Care Llc 5620 Saint Barnabas Rd Oxon Hill MD 20745-3628 Ph: (240) 643-7073 | Solacestar Care Llc 5620 Saint Barnabas Rd Oxon Hill MD 20745-3628 Ph: (240) 643-7073 |
| NPI Number | 1063247328 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 2365970951 |
|---|---|
| Medicare Enrollment ID | O20250121000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063247328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Esther Ejinaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376310029 PECOS PAC ID: 3274061866 Enrollment ID: I20250121000102 |
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