Organization
ROSE GODWIN SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYO OKORO (NURSE PRACTITIONER)
(301) 907-1700
Entity
Organization
Contact information
Practice address
13671 BALTIMORE AVE, LAUREL, MD 20707-5096
(301) 907-1700
(877) 714-8747
Mailing address
11226 CHERRY HILL RD APT 302, BELTSVILLE, MD 20705-3831
(301) 907-1700
(877) 714-8747
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
02/26/2024
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