Organization · Type 2 NPI

Spectrum of Hope-Health Wellness and Community Services

Health Service Clinic/Center · Riverdale, MD

NPI number 1023776374 Active

Practice location

5711 Sarvis Ave Ste 100
Riverdale, MD 20737-1363

Call (301) 850-8955 Map

Fax (301) 882-9732

Mailing address

12303 Starling Ln
Laurel, MD 20708-2835

Other practice locations

12303 Starling Ln, Laurel, MD 20708-2835 · (301) 957-1382

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

3 other providers at this address

Other health service clinic/center providers in Riverdale

Maicare Consulting, LLCHealth Service Clinic/Center Riverdale, MD NPI 1609684224

See all in Riverdale →

NPI record

NPI: 1023776374
Entity type: Organization (Type 2)
Issued: Dec 3, 2021
Last updated: Feb 1, 2022
Status: Active

Other names

<unavail>
Spectrum of Hope-Health Wellness and Community Services · other name
Spectrum of Hope-Health Wellness and Community Services · other name

Authorized official

Dr. Abila V Tazanu, MD
Medical Director
(301) 850-8955

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023776374

Spectrum of Hope-Health Wellness and Community Services's National Provider Identifier is 1023776374, issued on Dec 3, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Riverdale, MD. The record was last updated on Feb 1, 2022.