| Terra Health Care Llc | |
|
147 Westway Apt T2 Greenbelt MD 20770-1996 | |
| (240) 487-8462 | |
| Not Available |
| Full Name | Terra Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 147 Westway Apt T2, Greenbelt, Maryland |
| Authorized Official Name and Position | Lilian Leanyuy (OWNER) |
| Authorized Official Contact | 2404878462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Health Care Llc 147 Westway Apt T2 Greenbelt MD 20770-1996 Ph: (240) 487-8462 | Terra Health Care Llc 147 Westway Apt T2 Greenbelt MD 20770-1996 Ph: (240) 487-8462 |
| NPI Number | 1962124628 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/09/2022 |
| Medicare PECOS PAC ID | 3779951504 |
|---|---|
| Medicare Enrollment ID | O20221128002857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962124628 | NPI | - | NPPES |
| Provider Name | Lilian Leanyuy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477809937 PECOS PAC ID: 0941678775 Enrollment ID: I20221128002898 |
| Provider Name | Marilyn Bisanga Dzati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962762351 PECOS PAC ID: 6305293879 Enrollment ID: I20231106003231 |
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