Organization
TRANSFORMATION HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LANEY BODDIE (CEO)
(443) 224-3002
Entity
Organization
Contact information
Practice address
312 MARTIN LUTHER KING JR BLVD STE 300, BALTIMORE, MD 21201-1221
(443) 759-9592
(443) 817-0988
Mailing address
376 CHESSINGTON DR, ODENTON, MD 21113-1319
(443) 224-3002
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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