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Organization
THE LILY VALLEY GROUP, INC.
Active
Organization
THE LILY VALLEY GROUP, INC.
Active
Parent organization
THE LILY VALLEY GROUP, INC.
Other names
Lily Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LILY VALLEY GROUP, INC.
Authorized official
DR. SIMILADE ADETUNJI DNP, PMHNP,FNP (PROVIDER)
(240) 401-5260
Entity
Organization
Contact information
Practice address
1600 BELLE DR, ANNAPOLIS, MD 21401-1147
(240) 401-5260
Mailing address
1600 BELLE DR, ANNAPOLIS, MD 21401-1147
(240) 401-5260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
10/28/2023
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