Organization
GOOD HEALTH NUTRITION SERVICES INC
Active
Other names
GOOD HEALTH INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORENCE IFEOMA OMERENNAH D.O, (PRESIDENT)
(301) 577-1072
Entity
Organization
Contact information
Practice address
7515 ANNAPOLIS RD STE 402, HYATTSVILLE, MD 20784-1752
(301) 577-1072
(301) 577-1073
Mailing address
7515 ANNAPOLIS RD STE 402, HYATTSVILLE, MD 20784-1752
(301) 577-1072
(301) 577-1073
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DX 2507
MD
305R00000X
Preferred Provider Organization
DX2507
MD
305S00000X
Point of Service
DX2507
MD
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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