Provider Demographics
NPI:1568904266
Name:REACH FOR IT AGENCY
Entity Type:Organization
Organization Name:REACH FOR IT AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JOMEKIA
Authorized Official - Middle Name:LYNELL
Authorized Official - Last Name:DUNNINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-710-3248
Mailing Address - Street 1:4109 INDIAN HEAD HWY
Mailing Address - Street 2:
Mailing Address - City:INDIAN HEAD
Mailing Address - State:MD
Mailing Address - Zip Code:20640-1745
Mailing Address - Country:US
Mailing Address - Phone:301-710-3248
Mailing Address - Fax:
Practice Address - Street 1:4109 INDIAN HEAD HWY
Practice Address - Street 2:
Practice Address - City:INDIAN HEAD
Practice Address - State:MD
Practice Address - Zip Code:20640-1745
Practice Address - Country:US
Practice Address - Phone:301-710-3248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health