Organization
YOUR HEALTH NETWORK, INC.
Active
Parent organization
YOUR HEALTH NETWORK, INC.
Other names
Evergreen Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUR HEALTH NETWORK, INC.
Authorized official
MS. JESSICA L KOHNEN (EXECUTIVE DIRECTOR)
(443) 451-4973
Entity
Organization
Contact information
Practice address
9710 PATUXENT WOODS DR, SUITE 200, COLUMBIA, MD 21046-1526
(301) 575-8080
Mailing address
3000 FALLS RD, SUITE 1, BALTIMORE, MD 21211-2474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5354021
—
MD
Enumeration date
12/22/2014
Last updated
01/05/2015
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