MEDICARE: ALLOVER HEALTHCARE GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1255998795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLOVER HEALTHCARE GROUP LLC

Provider Business Mailing Address
First Line	:	5450 REISTERSTOWN RD STE 304
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-4436
Country	:	US
Telephone Number	:	443-759-8827
Fax Number	:	443-759-8870

Provider Business Practice Location Address
First Line	:	5450 REISTERSTOWN RD STE 304
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-4436
Country	:	US
Telephone Number	:	443-759-8827
Fax Number	:	443-759-8870

Authorized Official
Title or Position	:	CEO
Name	:	EMIOSHO OKOJIE
Credential	:
Telephone Number	:	443-759-8827

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	05/21/2019

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Directions to “ALLOVER HEALTHCARE GROUP LLC ” Practice Location

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