Provider Demographics
NPI:1336808914
Name:UKARE WELLNESS CLINIC
Entity type:Organization
Organization Name:UKARE WELLNESS CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:OBI
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-213-5494
Mailing Address - Street 1:12530 FAIRWOOD PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6357
Mailing Address - Country:US
Mailing Address - Phone:240-547-7966
Mailing Address - Fax:
Practice Address - Street 1:12530 FAIRWOOD PKWY STE 102
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6357
Practice Address - Country:US
Practice Address - Phone:240-547-7966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D.C.U. GLOBAL RESOURCES & U KARE HEALTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-10
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)