Organization
ELAINE ELLIS CENTER OF HEALTH, INC.
Active
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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