# MCNOLAN HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1922857713
- **Authorized official:** SHILLA POKUAA DNP (OWNER/ NURSE PRACTITIONER)
- **Authorized official phone:** (646) 965-0900

## Contact information

- **Practice address:** 125 S PHILADELPHIA BLVD OFC 12, ABERDEEN, MD 21001-3205
- **Practice address phone:** (646) 965-0900
- **Mailing address:** 1330 N SEWARDS CT, ABERDEEN, MD 21001-3955
- **Mailing address phone:** (646) 965-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024