# CALVARY HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558217141
- **Authorized official:** KELWIN OKWUDIOGOR (CEO & OWNER)
- **Authorized official phone:** (240) 478-2266

## Contact information

- **Practice address:** 10346 SUGARBERRY ST, WALDORF, MD 20603-5788
- **Practice address phone:** (240) 478-2266
- **Mailing address:** 10346 SUGARBERRY ST, WALDORF, MD 20603-5788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2026
- **Last updated:** 03/06/2026