Provider Demographics
NPI:1699595728
Name:ADAPTABLE HEALTH CARE
Entity type:Organization
Organization Name:ADAPTABLE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACINTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODURO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:571-776-6089
Mailing Address - Street 1:1702 EVANSBERRY DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5138
Mailing Address - Country:US
Mailing Address - Phone:571-776-6089
Mailing Address - Fax:
Practice Address - Street 1:184 THOMAS JOHNSON DR STE 202L
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4564
Practice Address - Country:US
Practice Address - Phone:301-201-3181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service