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Organization

MOFRANKAL HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OHIREIME BODUNRIN (CEO)
(410) 945-7470
Entity
Organization

Contact information

Practice address
2300 GARRISON BLVD, #106, BALTIMORE, MD 21216-2335
(410) 945-7470
(410) 945-7459
Mailing address
2300 GARRISON BLVD, #106, BALTIMORE, MD 21216-2335
(410) 945-7470
(443) 283-4079

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05-278
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010062900
VA
05
010062918
VA
05
010062934
VA
05
010072875
VA
05
010244749
VA
Enumeration date
02/20/2007
Last updated
06/24/2009
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