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Organization
PREVAIL HEALTHCARE SERVICES, LLC
Active
Organization
PREVAIL HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTIANAH B EGIEFAMEH PMHNP (PRESIDENT)
(443) 630-1567
Entity
Organization
Contact information
Practice address
8641 LOCH RAVEN BLVD STE 2C, TOWSON, MD 21286-2311
(410) 513-7750
(410) 513-7750
Mailing address
7515 ROSSVILLE BLVD, ROSEDALE, MD 21237-3741
(443) 630-1567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
R3996
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/24/2017
Last updated
09/15/2022
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