Organization
JAEL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA L VASS (ADMIN./BILLING CO-ORDINATOR)
(410) 203-2120
Entity
Organization
Contact information
Practice address
10176 BALTIMORE NATIONAL PIKE STE 115, ELLICOTT CITY, MD 21042-3651
(410) 203-2120
(410) 203-2123
Mailing address
10176 BALTIMORE NATIONAL PIKE STE 115, ELLICOTT CITY, MD 21042-3651
(410) 203-2120
(410) 203-2123
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952438624
—
MD
Enumeration date
12/17/2014
Last updated
07/21/2022
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