| Yeshua Restoration And Healing Center Llc | |
|
210 Powdersby Rd Joppa MD 21085-5418 | |
| (443) 447-2378 | |
| Not Available |
| Full Name | Yeshua Restoration And Healing Center Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 210 Powdersby Rd, Joppa, Maryland |
| Authorized Official Name and Position | Rolande Meumelieu (PRESIDENT) |
| Authorized Official Contact | 4434472378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yeshua Restoration And Healing Center Llc 210 Powdersby Rd Joppa MD 21085-5418 Ph: (443) 447-2378 | Yeshua Restoration And Healing Center Llc 210 Powdersby Rd Joppa MD 21085-5418 Ph: (443) 447-2378 |
| NPI Number | 1114718764 |
|---|---|
| Provider Enumeration Date | 05/14/2025 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Medicare PECOS PAC ID | 7618496845 |
|---|---|
| Medicare Enrollment ID | O20250521001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114718764 | NPI | - | NPPES |
| Provider Name | Rolande Meumelieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578902185 PECOS PAC ID: 2961848288 Enrollment ID: I20240308003295 |
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