| Freshair Health Services Llc | |
|
28 Tollgate Rd Owings Mills MD 21117-3348 | |
| (832) 434-8900 | |
| Not Available |
| Full Name | Freshair Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Tollgate Rd, Owings Mills, Maryland |
| Authorized Official Name and Position | Grace Emasealu (CRNP-PMH, CRNP-ADULT) |
| Authorized Official Contact | 8324348900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freshair Health Services Llc 5004 Honeygo Center Dr Ste 102 Perry Hall MD 21128-8964 Ph: (832) 434-8900 | Freshair Health Services Llc 28 Tollgate Rd Owings Mills MD 21117-3348 Ph: (832) 434-8900 |
| NPI Number | 1417601238 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 7810382926 |
|---|---|
| Medicare Enrollment ID | O20220325002237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417601238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Grace D Emasealu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619279502 PECOS PAC ID: 6305005703 Enrollment ID: I20120305000155 |
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