Provider Demographics
NPI:1063857704
Name:ANOINTED SENIOR CARE LLC
Entity Type:Organization
Organization Name:ANOINTED SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SINGLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:KAMICA
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:GNA/CNA
Authorized Official - Phone:240-367-4070
Mailing Address - Street 1:411 BECK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5407
Mailing Address - Country:US
Mailing Address - Phone:240-367-4070
Mailing Address - Fax:
Practice Address - Street 1:411 BECK DR
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-5407
Practice Address - Country:US
Practice Address - Phone:240-367-4070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty