Provider Demographics
NPI:1871240556
Name:RAK HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:RAK HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALPHONSUS
Authorized Official - Middle Name:CHUKWUDI
Authorized Official - Last Name:KORIE
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-675-8587
Mailing Address - Street 1:110 PAINTERS MILL RD STE 117A
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5514
Mailing Address - Country:US
Mailing Address - Phone:443-675-8587
Mailing Address - Fax:443-394-9449
Practice Address - Street 1:110 PAINTERS MILL RD STE 117A
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5514
Practice Address - Country:US
Practice Address - Phone:443-675-8587
Practice Address - Fax:443-394-9449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)