Organization
ROSE GODWIN SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYO OKORO NURSE PRACTITIONER (PRESIDENT)
(301) 907-1700
Entity
Organization
Contact information
Practice address
11226 CHERRY HILL RD APT 302, BELTSVILLE, MD 20705-3831
(301) 907-1700
(877) 714-8747
Mailing address
11226 CHERRY HILL RD APT 302, BELTSVILLE, MD 20705-3831
(301) 907-1700
(877) 714-8747
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
02/26/2024
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