Healthcare Provider Details

I. General information

NPI: 1205077211
Provider Name (Legal Business Name): TOUCHING ANGELS HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2009
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3309 HOLLOW CT
ELLICOTT CITY MD
21043-3485
US

IV. Provider business mailing address

PO BOX 582
ELLICOTT CITY MD
21041-0582
US

V. Phone/Fax

Practice location:
  • Phone: 410-660-9421
  • Fax: 410-415-1464
Mailing address:
  • Phone: 410-660-9421
  • Fax: 410-415-1464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR2391
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number0810003
License Number StateMD

VIII. Authorized Official

Name: MRS. LUCY W WAMWEA
Title or Position: CEO
Credential:
Phone: 410-660-9421