NPI | 1659743995 |
---|---|
Doing Business As | ALLCARE |
Former Legal Business Name | FAMILY CARE OF LAKE RIDGE LLC |
Entity Type | Organization |
Authorized Contact | GEVORG SEDRAKYAN CEO 443-393-3653 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2015-10-27 |
Last Update Date | 2018-06-16 |