MEDICARE: ANILAINE COMMUNITY OF HEALING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1013484104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANILAINE COMMUNITY OF HEALING

Provider Business Mailing Address
First Line	:	7111 ALLENTOWN RD STE 102
Second Line	:
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-1539
Country	:	US
Telephone Number	:	202-354-2923
Fax Number	:

Provider Business Practice Location Address
First Line	:	7111 ALLENTOWN RD STE 102
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1539
Country	:	US
Telephone Number	:	202-354-2923
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS ANEITA WILLIAMS
Credential	:
Telephone Number	:	202-354-2923

Provider Enumeration Date	:	10/27/2018
Last Update Date	:	01/24/2020

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Directions to “ANILAINE COMMUNITY OF HEALING ” Practice Location

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