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Organization
PRINCE OF PEACE HEALTHCARE SERVICES INC
Active
Organization
PRINCE OF PEACE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELECHI P AGUGUO (PRESIDENT)
(443) 791-0678
Entity
Organization
Contact information
Practice address
7512 KELSEYS LN, BALTIMORE, MD 21237-3709
(443) 791-0678
Mailing address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(443) 791-0678
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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