MEDICARE: SENGA HEALTH CARE,INC

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		MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396954111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENGA HEALTH CARE,INC

Provider Business Mailing Address
First Line	:	6023 ARIZONA AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21206-3804
Country	:	US
Telephone Number	:	410-866-1105
Fax Number	:	410-866-1105

Provider Business Practice Location Address
First Line	:	6023 ARIZONA AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21206-3804
Country	:	US
Telephone Number	:	410-866-1105
Fax Number	:	410-866-1105

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. AGNES IKUSIKA
Credential	:	RN
Telephone Number	:	410-866-1105

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	02/29/2008

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Directions to “SENGA HEALTH CARE,INC ” Practice Location

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