Provider Demographics
NPI:1922511856
Name:INTELLECT HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:INTELLECT HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAOKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-581-2070
Mailing Address - Street 1:11514 LAUREL BOWIE RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-9740
Mailing Address - Country:US
Mailing Address - Phone:240-581-2070
Mailing Address - Fax:202-239-2576
Practice Address - Street 1:11514 LAUREL BOWIE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-9740
Practice Address - Country:US
Practice Address - Phone:240-581-2070
Practice Address - Fax:202-239-2576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health