Provider Demographics
NPI:1114330446
Name:ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Other - Org Name:HIV/AIDS CASE MANAGEMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:PM, HIV/STD PREVENTION & CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-222-4113
Mailing Address - Street 1:3 HARRY S TRUMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7031
Mailing Address - Country:US
Mailing Address - Phone:410-222-7095
Mailing Address - Fax:
Practice Address - Street 1:1 HARRY S TRUMAN PKWY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7037
Practice Address - Country:US
Practice Address - Phone:410-222-7108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management