Provider Demographics
NPI:1457123689
Name:SOLID SHIELD HEALTH SERVICES
Entity Type:Organization
Organization Name:SOLID SHIELD HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABAYOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLAPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-889-1652
Mailing Address - Street 1:20 CHELTENHAM CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6117
Mailing Address - Country:US
Mailing Address - Phone:443-889-1652
Mailing Address - Fax:
Practice Address - Street 1:20 CHELTENHAM CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-6117
Practice Address - Country:US
Practice Address - Phone:443-889-1652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health