Provider Demographics
NPI:1407471659
Name:HOLISTIC TOUCH HEALTHCARE LLC
Entity Type:Organization
Organization Name:HOLISTIC TOUCH HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OJO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP, PMHNP-BC
Authorized Official - Phone:301-257-1084
Mailing Address - Street 1:1412 CRAIN HWY N STE 3A
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-7000
Mailing Address - Country:US
Mailing Address - Phone:410-595-5029
Mailing Address - Fax:800-611-7439
Practice Address - Street 1:1412 CRAIN HWY N STE 3A
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-7000
Practice Address - Country:US
Practice Address - Phone:410-595-5029
Practice Address - Fax:800-611-7439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-13
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty