# PRICARE MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669983904
- **Authorized official:** EVELINE TAKANG CRNP (OWNER)
- **Authorized official phone:** (240) 264-9698

## Contact information

- **Practice address:** 8113 HARFORD RD STE 100, BALTIMORE, MD 21234-5790
- **Practice address phone:** (410) 882-4800
- **Mailing address:** 8113 HARFORD RD STE 100, BALTIMORE, MD 21234-5790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2017
- **Last updated:** 10/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 983319600 | — | MD |