Provider Demographics
NPI:1124568746
Name:ATAAM HEALTH CARE LLC
Entity Type:Organization
Organization Name:ATAAM HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:MODUPE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-374-7748
Mailing Address - Street 1:33 VIMY CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1834
Mailing Address - Country:US
Mailing Address - Phone:410-374-7748
Mailing Address - Fax:
Practice Address - Street 1:33 VIMY CT
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-1834
Practice Address - Country:US
Practice Address - Phone:410-374-7748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3995251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health