Organization
WINNERS HEALTHCARE SERVICES LLC
Active
Parent organization
WINNERS HEALTHCARE SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINNERS HEALTHCARE SERVICES, LLC
Authorized official
JUMOKE FADEKE OMISORE NP (MEDICAL DIRECTOR)
(410) 903-9206
Entity
Organization
Contact information
Practice address
6600 YORK RD STE 112, BALTIMORE, MD 21212-2029
(410) 903-9206
Mailing address
1529 WINFIELDS LN, GAMBRILLS, MD 21054-1127
(410) 790-9640
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799694200
—
MD
Enumeration date
01/17/2022
Last updated
01/17/2022
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