Provider Demographics
NPI:1093252173
Name:SHEENA JALLOH
Entity Type:Organization
Organization Name:SHEENA JALLOH
Other - Org Name:BELLFIELD SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:RACHELLE
Authorized Official - Last Name:JALLOH
Authorized Official - Suffix:
Authorized Official - Credentials:COF
Authorized Official - Phone:240-603-3485
Mailing Address - Street 1:7614 E ARBORY CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5523
Mailing Address - Country:US
Mailing Address - Phone:240-603-3485
Mailing Address - Fax:
Practice Address - Street 1:7614 E ARBORY CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5523
Practice Address - Country:US
Practice Address - Phone:240-603-3485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty