Organization
ELAINE ELLIS CENTER OF HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYN RENEE WALKER (CEO)
(202) 803-2340
Entity
Organization
Contact information
Practice address
10001 RHODE ISLAND AVE, COLLEGE PARK, MD 20740-1141
(301) 441-1605
(301) 345-1609
Mailing address
1627 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 803-2340
(202) 803-2350
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
07/17/2024
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