Provider Demographics
NPI:1245591726
Name:FORCHA, CATHERINE A
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:FORCHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 DODGE PARK RD
Mailing Address - Street 2:#302
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2004
Mailing Address - Country:US
Mailing Address - Phone:240-478-4265
Mailing Address - Fax:
Practice Address - Street 1:3401 DODGE PARK RD
Practice Address - Street 2:#302
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2004
Practice Address - Country:US
Practice Address - Phone:240-478-4265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide