Provider Demographics
NPI:1194538983
Name:ELORM HEALTH SERVICES
Entity type:Organization
Organization Name:ELORM HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDEM
Authorized Official - Middle Name:
Authorized Official - Last Name:DOGBOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-977-7248
Mailing Address - Street 1:10440 LITTLE PATUXENT PKWY STE 300-302
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3561
Mailing Address - Country:US
Mailing Address - Phone:202-977-7248
Mailing Address - Fax:
Practice Address - Street 1:10440 LITTLE PATUXENT PKWY STE 300-302
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3561
Practice Address - Country:US
Practice Address - Phone:202-977-7248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty