Healthcare Provider Details

I. General information

NPI: 1629922588
Provider Name (Legal Business Name): HOLLAND WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 BLOOMINGDALE RD
BALTIMORE MD
21216-3002
US

IV. Provider business mailing address

1905 BLOOMINGDALE RD
BALTIMORE MD
21216-3002
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-4702
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA NELSON
Title or Position: OWNER
Credential:
Phone: 667-910-4615