Provider Demographics
NPI:1821597279
Name:AMERICAN STANDARD HEALTH CARE INC
Entity Type:Organization
Organization Name:AMERICAN STANDARD HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:IKOTUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-682-7206
Mailing Address - Street 1:3517 LANGREHR RD STE 206
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3067
Mailing Address - Country:US
Mailing Address - Phone:410-657-2746
Mailing Address - Fax:410-657-2746
Practice Address - Street 1:3517 LANGREHR RD STE 206
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-3067
Practice Address - Country:US
Practice Address - Phone:410-657-2746
Practice Address - Fax:410-657-2746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2459251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health