Provider Demographics
NPI:1609040872
Name:WELCOME FRIENDS ADULT MEDICAL DAY CENTER
Entity Type:Organization
Organization Name:WELCOME FRIENDS ADULT MEDICAL DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:EGONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-574-5005
Mailing Address - Street 1:416 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-6714
Mailing Address - Country:US
Mailing Address - Phone:410-574-5005
Mailing Address - Fax:410-574-3535
Practice Address - Street 1:416 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221
Practice Address - Country:US
Practice Address - Phone:410-574-5005
Practice Address - Fax:410-574-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care