Organization
HOUSE OF CHANGE, LLC
Active
Organization
HOUSE OF CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA OHIKU (NURSE PRACTITIONER)
(410) 404-7651
Entity
Organization
Contact information
Practice address
11 AYNESLEY CT, OWINGS MILLS, MD 21117-6143
(410) 404-7651
Mailing address
11 AYNESLEY CT, OWINGS MILLS, MD 21117-6143
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MD
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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