Healthcare Provider Details

I. General information

NPI: 1609931849
Provider Name (Legal Business Name): PREGNANCY AID CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 12/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 ERIE ST
COLLEGE PARK MD
20740
US

IV. Provider business mailing address

4700 ERIE ST
COLLEGE PARK MD
20740
US

V. Phone/Fax

Practice location:
  • Phone: 301-345-2050
  • Fax: 877-579-9849
Mailing address:
  • Phone: 301-345-2050
  • Fax: 877-579-9849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number StateMD

VIII. Authorized Official

Name: MARY JELACIC
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 240-606-5598