Provider Demographics
NPI:1366849945
Name:A CARE AGENCY LLC
Entity Type:Organization
Organization Name:A CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:K
Authorized Official - Last Name:TETTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-533-6599
Mailing Address - Street 1:14613 SHILOH CT APT X3
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1082
Mailing Address - Country:US
Mailing Address - Phone:240-533-6599
Mailing Address - Fax:
Practice Address - Street 1:14613 SHILOH CT APT X3
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1082
Practice Address - Country:US
Practice Address - Phone:240-533-6599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health