Healthcare Provider Details

I. General information

NPI: 1679750251
Provider Name (Legal Business Name): PROBITY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2008
Last Update Date: 01/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 PENNSYLVANIA AVE
BALTIMORE MD
21217-3119
US

IV. Provider business mailing address

1721 PENNSYLVANIA AVE
BALTIMORE MD
21217-3119
US

V. Phone/Fax

Practice location:
  • Phone: 410-383-0880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR2543
License Number StateMD

VIII. Authorized Official

Name: OLADIMEJI ADEDIRE
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-850-6600