Provider Demographics
NPI:1255162210
Name:PACESETTER HEALTHCARE RESOURCES LLC
Entity type:Organization
Organization Name:PACESETTER HEALTHCARE RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ADEBOWALE
Authorized Official - Last Name:OGIDIOLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-985-5493
Mailing Address - Street 1:26 E LEE ST STE 110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-6002
Mailing Address - Country:US
Mailing Address - Phone:443-984-5493
Mailing Address - Fax:410-501-5140
Practice Address - Street 1:26 E LEE ST STE 110
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-6002
Practice Address - Country:US
Practice Address - Phone:443-984-5493
Practice Address - Fax:410-501-5140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health