Healthcare Provider Details

I. General information

NPI: 1982887709
Provider Name (Legal Business Name): GOLDEN TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 12/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 PURPLE LILAC LN
CLINTON MD
20735-4086
US

IV. Provider business mailing address

6800 PURPLE LILAC LN
CLINTON MD
20735-4086
US

V. Phone/Fax

Practice location:
  • Phone: 301-919-3880
  • Fax: 301-877-1273
Mailing address:
  • Phone: 301-919-3880
  • Fax: 301-877-1273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number StateMD

VIII. Authorized Official

Name: MRS. PAULINE ANNETT MITCHELL-EJIMAKOR
Title or Position: CEO
Credential:
Phone: 301-919-3880