Reconnect Services LLC
Organization Active NPI Point of Service · Seabrook, MD
NPI 1043652811 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1043652811
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- License
- LC4175 (MD)
- Legal business name
- RECONNECT SERVICES LLC
- Practice address
- 9825 Good Luck Rd Apt 7
Seabrook, MD 20706-3364 - Phone
- (240) 291-8313
- NPI assigned
- Jul 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Olufunke Oyeronke Adetunji
- Title
- Clinical Director
- Phone
- (240) 291-8313
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | LC4175 | MD | Yes |
Addresses
Primary practice location
9825 Good Luck Rd Apt 7
Seabrook, MD 20706-3364
Mailing address
9825 Good Luck Rd Apt 7
Seabrook, MD 20706-3364
Phone (240) 291-8313
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- Elvis Abeh Nfor
- Collins A. Nkafu
- Jeffrey Allen Paper
- Jean C. Rivera Lopez
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All providers in Seabrook, MD · Point of Service in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.