Healthcare Provider Details

I. General information

NPI: 1578146148
Provider Name (Legal Business Name): AHUMAN TOUCH DISTRIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 05/03/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3830 BERLEIGH HILL CT
BURTONSVILLE MD
20866
US

IV. Provider business mailing address

3830 BERLEIGH HILL CT
BURTONSVILLE MD
20866-1392
US

V. Phone/Fax

Practice location:
  • Phone: 240-338-7513
  • Fax:
Mailing address:
  • Phone: 240-338-7513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KADIATOU CISSE
Title or Position: CEO
Credential:
Phone: 240-338-7513