Provider Demographics
NPI:1609398874
Name:ARCHERS HEALTH CARE LLC
Entity Type:Organization
Organization Name:ARCHERS HEALTH CARE LLC
Other - Org Name:ARCHERS HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAREASE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-825-0816
Mailing Address - Street 1:521 E JOPPA RD STE 103
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1803
Mailing Address - Country:US
Mailing Address - Phone:410-825-0816
Mailing Address - Fax:
Practice Address - Street 1:521 E JOPPA RD STE 103
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1803
Practice Address - Country:US
Practice Address - Phone:410-825-0816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health