| Vitality Health And Wellness Center | |
|
9701 Apollo Dr Ste 100 Largo MD 20774-4785 | |
| (240) 696-7796 | |
| Not Available |
| Full Name | Vitality Health And Wellness Center |
|---|---|
| Speciality | Social Worker |
| Location | 9701 Apollo Dr Ste 100, Largo, Maryland |
| Authorized Official Name and Position | Dana Hubbard (ADMIN/CLINICAL MANAGER) |
| Authorized Official Contact | 3016512588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Health And Wellness Center 3638 Sweetbush Trl Laurel MD 20724-2492 Ph: (301) 651-2588 | Vitality Health And Wellness Center 9701 Apollo Dr Ste 100 Largo MD 20774-4785 Ph: (240) 696-7796 |
| NPI Number | 1306303433 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 9436492261 |
|---|---|
| Medicare Enrollment ID | O20190522000910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306303433 | NPI | - | NPPES |
| Provider Name | Dana M Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720272305 PECOS PAC ID: 0345583175 Enrollment ID: I20190531001334 |
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