Provider Demographics
NPI:1710507355
Name:ALL AMERICAN HOME CARE AND PRP SERVICES INC.
Entity Type:Organization
Organization Name:ALL AMERICAN HOME CARE AND PRP SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:UWAGBALE
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:OIGBOKIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-653-0074
Mailing Address - Street 1:1701 STONE IVY PL
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-5717
Mailing Address - Country:US
Mailing Address - Phone:443-653-0074
Mailing Address - Fax:
Practice Address - Street 1:8100 HARFORD RD STE 2
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-5754
Practice Address - Country:US
Practice Address - Phone:443-653-0074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)