Healthcare Provider Details

I. General information

NPI: 1366976649
Provider Name (Legal Business Name): FUTURES HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2017
Last Update Date: 04/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 JOH AVE SUITE 160
HALETHORPE MD
21227-1070
US

IV. Provider business mailing address

1504 JOH AVE SUITE 160
HALETHORPE MD
21227-1070
US

V. Phone/Fax

Practice location:
  • Phone: 443-961-3248
  • Fax:
Mailing address:
  • Phone: 443-961-3248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH AIYEPOLA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 443-961-3248