MEDICARE: HOLISTIC TOUCH HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1407471659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC TOUCH HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1412 CRAIN HWY N STE 3A
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-7000
Country	:	US
Telephone Number	:	410-595-5029
Fax Number	:	800-611-7439

Provider Business Practice Location Address
First Line	:	1412 CRAIN HWY N STE 3A
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-7000
Country	:	US
Telephone Number	:	410-595-5029
Fax Number	:	800-611-7439

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GLORIA OJO
Credential	:	DNP, FNP, PMHNP-BC
Telephone Number	:	301-257-1084

Provider Enumeration Date	:	06/13/2020
Last Update Date	:	03/23/2021

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