Organization
SPECTRUM OF HOPE-HEALTH WELLNESS AND COMMUNITY SERVICES
Active
Organization
SPECTRUM OF HOPE-HEALTH WELLNESS AND COMMUNITY SERVICES
Active
Other names
Spectrum of Hope-Health Wellness and Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABILA V TAZANU MD (MEDICAL DIRECTOR)
(301) 850-8955
Entity
Organization
Contact information
Practice address
5711 SARVIS AVE STE 100, RIVERDALE, MD 20737-1363
(301) 850-8955
(301) 882-9732
Mailing address
12303 STARLING LN, LAUREL, MD 20708-2835
(301) 957-1382
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008686000
—
MD
Enumeration date
12/03/2021
Last updated
02/01/2022
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