Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Other names
HIV AIDS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE WHITAKER (MANAGER, CLIENT INFORMATION SERVICE)
(301) 883-7861
Entity
Organization
Contact information
Practice address
3003 HOSPITAL DR, CHEVERLY, MD 20785-1194
(301) 583-3700
(301) 583-3734
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-7861
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70480
—
MD
Enumeration date
04/30/2007
Last updated
08/22/2020
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