NPI 1972809911

Good Health Nutrition Services INC

Organisation Health Maintenance Organization Hyattsville, MD

Practice location

Address: 7515 Annapolis Rd STE 402, Hyattsville, MD 20784-1752
Phone: (301) 577-1072
Fax: (301) 577-1073

Authorised official

Name: Florence Ifeoma Omerennah
Title: President
Phone: (301) 577-1072

Registered specialties (3)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence DX 2507 (MD)

Other Health Maintenance Organization providers in Maryland →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence DX2507 (MD)

Other Preferred Provider Organization providers in Maryland →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence DX2507 (MD)

Other Point of Service providers in Maryland →

Registry record

NPI: 1972809911
Entity type: Organization
NPI issued: 9 Feb 2011
Record last updated: 9 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.