| Mahanaim Wellness Center & Iv Hydration Lounge | |
|
5020 Sunnyside Ave Beltsville MD 20705-2307 | |
| (301) 304-1751 | |
| Not Available |
| Full Name | Mahanaim Wellness Center & Iv Hydration Lounge |
|---|---|
| Speciality | Clinic/Center |
| Location | 5020 Sunnyside Ave, Beltsville, Maryland |
| Authorized Official Name and Position | Jasseth Taylor-palmer (CEO) |
| Authorized Official Contact | 6099068167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahanaim Wellness Center & Iv Hydration Lounge 5020 Sunnyside Ave Beltsville MD 20705-2307 Ph: (301) 304-1751 | Mahanaim Wellness Center & Iv Hydration Lounge 5020 Sunnyside Ave Beltsville MD 20705-2307 Ph: (301) 304-1751 |
| NPI Number | 1588434484 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 04/22/2024 |
| Medicare PECOS PAC ID | 9133568199 |
|---|---|
| Medicare Enrollment ID | O20240423004172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588434484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jasseth M Taylor-palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720661358 PECOS PAC ID: 6406238286 Enrollment ID: I20221027002955 |
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