Organization
PEACE HOME AND HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNENE UKOHA (OWNER)
(443) 804-7141
Entity
Organization
Contact information
Practice address
6523 REDGATE CIR, BALTIMORE, MD 21228-1146
(443) 804-7141
Mailing address
6523 REDGATE CIR, BALTIMORE, MD 21228-1146
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R130631
MD
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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