Provider Demographics
NPI:1093432817
Name:ANN EGG HEALTH CENTER INC
Entity Type:Organization
Organization Name:ANN EGG HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARNETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGREE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:301-755-5463
Mailing Address - Street 1:1740 E JOPPA RD STE LL1
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3623
Mailing Address - Country:US
Mailing Address - Phone:301-755-5463
Mailing Address - Fax:301-701-4741
Practice Address - Street 1:1740 E JOPPA RD STE LL1
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-3623
Practice Address - Country:US
Practice Address - Phone:301-755-5463
Practice Address - Fax:301-701-4741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)