Organization
JK HEALTH SYSTEMS LLC
Active
Other names
JK HEALTH SYTEMS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OLANINKAN OLASEHA (CEO)
(443) 579-6044
Entity
Organization
Contact information
Practice address
3620 S HANOVER ST, BALTIMORE, MD 21225-1705
(410) 354-2200
Mailing address
3620 S HANOVER ST, BALTIMORE, MD 21225-1705
(443) 769-0897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508520602
—
MD
05
—
1619430550
—
MD
Enumeration date
12/20/2022
Last updated
12/20/2022
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