Provider Demographics
NPI:1740847201
Name:SWIFTCARE FAMILY CLINIC AND WELLNESS INC
Entity type:Organization
Organization Name:SWIFTCARE FAMILY CLINIC AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUFUNMILAYO
Authorized Official - Middle Name:SAYO
Authorized Official - Last Name:ONUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-CRNP
Authorized Official - Phone:301-752-1238
Mailing Address - Street 1:1841 BRIGHTSEAT RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4250
Mailing Address - Country:US
Mailing Address - Phone:301-752-1238
Mailing Address - Fax:240-691-0279
Practice Address - Street 1:1841/1843 BRIGHTSEAT ROAD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2078
Practice Address - Country:US
Practice Address - Phone:301-752-1238
Practice Address - Fax:240-691-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty