Organization
GLORYLAND HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELPHINE E IKPASAJA (PROVIDER)
(443) 882-5557
Entity
Organization
Contact information
Practice address
928 LONG MANOR DR, MIDDLE RIVER, MD 21220-1700
(443) 882-5557
Mailing address
928 LONG MANOR DR, MIDDLE RIVER, MD 21220-1700
(443) 882-5557
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
01/25/2021
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