Organization
IMPACT HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIWO ADEYEMO (CO-OWNER)
(240) 646-2414
Entity
Organization
Contact information
Practice address
11571 LAURELWALK DR, LAUREL, MD 20708-3001
(240) 646-2414
Mailing address
11571 LAURELWALK DR, LAUREL, MD 20708-3001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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