Healthcare Provider Details

I. General information

NPI: 1225352313
Provider Name (Legal Business Name): SCRUPLES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2010
Last Update Date: 03/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6475 NEW HAMPSHIRE AVE SUITE 650
HYATTSVILLE MD
20783-3269
US

IV. Provider business mailing address

6475 NEW HAMPSHIRE AVENUE SUITE 650
HYATTSVILLE MD
20783
US

V. Phone/Fax

Practice location:
  • Phone: 301-270-7191
  • Fax: 301-270-7194
Mailing address:
  • Phone: 301-270-7191
  • Fax: 301-270-7194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number4263
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number4263
License Number StateMD

VIII. Authorized Official

Name: MRS. SHARON ANGELETE YORKE-CYRUS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 301-270-7191