Provider Demographics
NPI:1841853645
Name:PRINCE HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:PRINCE HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLABOSIPO
Authorized Official - Middle Name:
Authorized Official - Last Name:OREYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-613-0931
Mailing Address - Street 1:8000 JUMPERS HOLE RD STE 212
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1046
Mailing Address - Country:US
Mailing Address - Phone:443-795-4334
Mailing Address - Fax:
Practice Address - Street 1:8000 JUMPERS HOLE RD STE 212
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1046
Practice Address - Country:US
Practice Address - Phone:443-795-4334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health