| Deep Run Elementary School-based Wellness Center | |
|
6925 Old Waterloo Road Hchd Deep Run Elementary School-based Wellness Center Elkridge MD 21075 | |
| (410) 313-7238 | |
| (410) 313-6108 |
| Full Name | Deep Run Elementary School-based Wellness Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 6925 Old Waterloo Road, Elkridge, Maryland |
| Authorized Official Name and Position | Carletta Lynn Mcknight (FISCAL ACCOUNT MANAGER) |
| Authorized Official Contact | 4103136300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Run Elementary School-based Wellness Center 8930 Stanford Boulevard Howard County Health Department Columbia MD 21045-5805 Ph: (410) 313-7238 | Deep Run Elementary School-based Wellness Center 6925 Old Waterloo Road Hchd Deep Run Elementary School-based Wellness Center Elkridge MD 21075 Ph: (410) 313-7238 |
| NPI Number | 1174043640 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174043640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Maryland) | Primary |
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