Healthcare Provider Details
I. General information
NPI: 1942074604
Provider Name (Legal Business Name): ENTITY NAME: CARING 4 YOU WELLNESS AND IV DRIP LIMITED LIABILITY COMPA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18721 CAPELLA LN
GAITHERSBURG MD
20877-3522
US
IV. Provider business mailing address
18721 CAPELLA LN
GAITHERSBURG MD
20877-3522
US
V. Phone/Fax
- Phone: 301-250-6559
- Fax:
- Phone: 301-250-6559
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASPER
ZABALA
Title or Position: MANAGING PARTNER
Credential:
Phone: 301-250-6559