# EPHRATAH HEALTH GROUP LLC

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

## Provider details

- **NPI number:** 1740057751
- **Authorized official:** MORADEKE OKUNOYE (MANAGER)
- **Authorized official phone:** (347) 635-2021

## Contact information

- **Practice address:** 8726 LANDMARK RD, HENRICO, VA 23228-2802
- **Practice address phone:** (347) 635-2021
- **Mailing address:** 8726 LANDMARK RD, HENRICO, VA 23228-2802
- **Mailing address phone:** (347) 635-2021

## 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:** 12/08/2023
- **Last updated:** 12/08/2023