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RECONNECT SERVICES LLC NPI 1043652811


NPI Information

NPI: 1043652811
Provider Name: RECONNECT SERVICES LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
9825 GOOD LUCK RD APT 7
SEABROOK, MD
ZIP 20706
Phone: (240) 291-8313
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RECONNECT SERVICES LLC is a point of service in Seabrook, MD. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. RECONNECT SERVICES LLC NPI is 1043652811. The provider is registered as an organization entity type.

The provider's business location address is:

9825 GOOD LUCK RD APT 7
SEABROOK, MD
ZIP 20706-364
Phone: (240) 291-8313

The provider's authorized official is Olufunke Oyeronke Adetunji .
The authorized official title is Clinical Director and has the following contact phone number (240) 291-8313.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 7/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServiceLC4175MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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