Provider Demographics
NPI:1578217881
Name:ALICE ADVANCED HOME HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:ALICE ADVANCED HOME HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CHINWENDU
Authorized Official - Last Name:ENWEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-605-2370
Mailing Address - Street 1:511 S BOND ST # 303
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2899
Mailing Address - Country:US
Mailing Address - Phone:301-604-2370
Mailing Address - Fax:
Practice Address - Street 1:511 S BOND ST # 303
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-2899
Practice Address - Country:US
Practice Address - Phone:301-604-2370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-05
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health