| Healthy Highways LLC | |
|
19101 Willow Grove Rd Olney MD 20832-1232 | |
| (667) 678-3872 | |
| Not Available |
| Full Name | Healthy Highways LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 19101 Willow Grove Rd, Olney, Maryland |
| Authorized Official Name and Position | Gloria Izore (BUSINESS OWNER) |
| Authorized Official Contact | 6676783872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Highways LLC 10500 Little Patuxent Pkwy # 1213 Columbia MD 21044-3585 | Healthy Highways LLC 19101 Willow Grove Rd Olney MD 20832-1232 Ph: (667) 678-3872 |
| NPI Number | 1710747316 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710747316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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