Provider Demographics
NPI:1598391070
Name:COMMAND HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:COMMAND HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KENISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:COMMANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-725-6451
Mailing Address - Street 1:531 N CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2301
Mailing Address - Country:US
Mailing Address - Phone:410-216-0241
Mailing Address - Fax:
Practice Address - Street 1:531 N CHESTER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2301
Practice Address - Country:US
Practice Address - Phone:410-216-0241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health