Provider Demographics
NPI:1568883510
Name:WE KEEP AN EYE ON YOU,INC
Entity Type:Organization
Organization Name:WE KEEP AN EYE ON YOU,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARVINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-357-6764
Mailing Address - Street 1:3327 HUNTLEY SQUARE DR APT C1
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-6216
Mailing Address - Country:US
Mailing Address - Phone:301-357-6764
Mailing Address - Fax:240-296-0828
Practice Address - Street 1:3327 HUNTLEY SQUARE DR APT C1
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-6216
Practice Address - Country:US
Practice Address - Phone:301-357-6764
Practice Address - Fax:240-296-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111201251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health