Provider Demographics
NPI:1902482391
Name:ADELE C FEILD LLC
Entity Type:Organization
Organization Name:ADELE C FEILD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-600-4643
Mailing Address - Street 1:506 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4912
Mailing Address - Country:US
Mailing Address - Phone:443-800-4512
Mailing Address - Fax:
Practice Address - Street 1:506 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4912
Practice Address - Country:US
Practice Address - Phone:443-600-4643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)