MEDICARE: MONARCH HEALTH SYSTEMS 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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1467090985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH HEALTH SYSTEMS INC

Provider Business Mailing Address
First Line	:	4909 LIBERTY HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-8235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 LIBERTY HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-8235
Country	:	US
Telephone Number	:	443-912-8765
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAYODE AKINBODE
Credential	:
Telephone Number	:	443-912-8765

Provider Enumeration Date	:	12/16/2019
Last Update Date	:	12/16/2019

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