Organization
CHANGE HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL OJO (CEO)
(410) 233-1088
Entity
Organization
Contact information
Practice address
2401 LIBERTY HEIGHTS AVE STE 4670, SUITE 4670, BALTIMORE, MD 21215-8019
(410) 233-1088
(410) 233-1087
Mailing address
2401 LIBERTY HEIGHTS AVE STE 4670, SUITE 4670, BALTIMORE, MD 21215-8019
(410) 233-1088
(410) 233-1087
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
21570
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404096100
—
MD
05
—
5457980100
—
MD
Enumeration date
10/16/2008
Last updated
08/03/2011
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