Organization
PREMIUM CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUGBENGA LAOYE (PRESIDENT)
(240) 437-2218
Entity
Organization
Contact information
Practice address
7413 MATAPAN DR, HANOVER, MD 21076-2104
(240) 437-2218
Mailing address
7413 MATAPAN DR, HANOVER, MD 21076-2104
(240) 437-2218
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/05/2024
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