Organization
TEMAH HEALTHCARE SERVICES, LLC
Active
Parent organization
TEMAH HEALTHCARE SERVICES, LLC
Other names
Temah Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMAH HEALTHCARE SERVICES, LLC
Authorized official
MR. GBENGA WILLIAMS (ADMINISTRATOR)
(410) 521-8000
Entity
Organization
Contact information
Practice address
5310 OLD COURT RD STE 303, RANDALLSTOWN, MD 21133-6202
(410) 521-8000
(410) 655-5826
Mailing address
5310 OLD COURT RD STE 303, RANDALLSTOWN, MD 21133-6202
(410) 702-5397
(410) 655-5826
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3573
MD
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235326100
—
MD
Enumeration date
02/10/2014
Last updated
09/23/2019
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