Healthcare Provider Details

I. General information

NPI: 1093648313
Provider Name (Legal Business Name): ALLEN HALL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3322 14TH ST NW APT 305
WASHINGTON DC
20010-2365
US

IV. Provider business mailing address

10136 DRESSAGE DR
UPPER MARLBORO MD
20772-4684
US

V. Phone/Fax

Practice location:
  • Phone: 771-245-5733
  • Fax:
Mailing address:
  • Phone: 301-523-6856
  • Fax: 301-523-6856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: