Jade Health & Wellness, Llc - Primary Care Clinic/Center in Baltimore, Maryland | ProviderWire

Legal Business Name

Jade Health & Wellness, Llc

NPI Number

1902448335

NPI Type

Organization

Enumeration Date

10/17/2019

Specialties

(Taxonomies)

Name

Primary Care Clinic/Center

Code

261QP2300X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

9627 EAVES DR

3301 BELAIR RD

City

Owings Mills

Baltimore

State

MD

MD

Postal Code

21117-5919

21213-1257

Country

US

US

Telephone Number

N/A

(410) 929-3893

Authorized Official

Name

Theressa Williams

Title or Position

EXECUTIVE DIRECTOR/CEO

Telephone Number

(443) 744-6214

Identifiers

Identifier

1922514348

Identifier State

MD

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

computer

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

9627 Eaves DrOwings Mills, MD211175919US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/24/2020

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