Organization
AGILE PRIMARY CARE AND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSUNMOLA LAKE (MEDICAL DIRECTOR)
(301) 263-4890
Entity
Organization
Contact information
Practice address
216 CRAIN HWY N STE 102, GLEN BURNIE, MD 21061-3086
(301) 263-4890
Mailing address
216 CRAIN HWY N STE 102, GLEN BURNIE, MD 21061-3086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us