Provider Demographics
NPI:1710717483
Name:ALIGN WELLNESS SUITE LLC
Entity type:Organization
Organization Name:ALIGN WELLNESS SUITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP-BC
Authorized Official - Phone:240-254-2011
Mailing Address - Street 1:8301 OLD LEONARDTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HUGHESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20637-3154
Mailing Address - Country:US
Mailing Address - Phone:240-254-2011
Mailing Address - Fax:757-432-3166
Practice Address - Street 1:8301 OLD LEONARDTOWN RD
Practice Address - Street 2:
Practice Address - City:HUGHESVILLE
Practice Address - State:MD
Practice Address - Zip Code:20637-3154
Practice Address - Country:US
Practice Address - Phone:240-254-2011
Practice Address - Fax:757-432-3166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty