Healthcare Provider Details

I. General information

NPI: 1083893481
Provider Name (Legal Business Name): HOPE, HEALTH,AND HUMAN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6847 ANNAPOLIS RD
HYATTSVILLE MD
20784
US

IV. Provider business mailing address

6847 ANNAPOLIS ROAD
LANDOVER HILLS MD
20784
US

V. Phone/Fax

Practice location:
  • Phone: 301-257-7862
  • Fax: 301-220-4114
Mailing address:
  • Phone: 301-257-7862
  • Fax: 301-220-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: DR. FELICIA C EVERETT-BLAKE
Title or Position: CEO
Credential: JD
Phone: 301-257-7862