Organization
MCNOLAN HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILLA POKUAA DNP (OWNER/ NURSE PRACTITIONER)
(646) 965-0900
Entity
Organization
Contact information
Practice address
125 S PHILADELPHIA BLVD OFC 12, ABERDEEN, MD 21001-3205
(646) 965-0900
Mailing address
1330 N SEWARDS CT, ABERDEEN, MD 21001-3955
(646) 965-0900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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