Provider Demographics
NPI:1518655133
Name:HEALTHLANE SERVICES INC.
Entity Type:Organization
Organization Name:HEALTHLANE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PERPETUA
Authorized Official - Middle Name:CHIEBONAM
Authorized Official - Last Name:ONYEAMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-559-1762
Mailing Address - Street 1:6627 AARON MEE WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4337
Mailing Address - Country:US
Mailing Address - Phone:443-559-1762
Mailing Address - Fax:
Practice Address - Street 1:6627 AARON MEE WAY
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-4337
Practice Address - Country:US
Practice Address - Phone:443-559-1762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care