Provider Demographics
NPI:1285042101
Name:OBIMEM CARING HAND LLC
Entity Type:Organization
Organization Name:OBIMEM CARING HAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:EMEKA
Authorized Official - Last Name:OBIEFULE
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPN
Authorized Official - Phone:410-419-3358
Mailing Address - Street 1:1055 TAYLOR AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8333
Mailing Address - Country:US
Mailing Address - Phone:410-419-3358
Mailing Address - Fax:410-853-7604
Practice Address - Street 1:1055 TAYLOR AVE STE 208
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-8333
Practice Address - Country:US
Practice Address - Phone:410-419-3358
Practice Address - Fax:410-853-7604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3584R251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care