Provider Demographics
NPI:1770818429
Name:GENTLE TOUCH AGENCY
Entity Type:Organization
Organization Name:GENTLE TOUCH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEWALE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ONOBIYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-535-9104
Mailing Address - Street 1:9627 JUSTIN LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1801
Mailing Address - Country:US
Mailing Address - Phone:301-490-9734
Mailing Address - Fax:240-264-5931
Practice Address - Street 1:9627 JUSTIN LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1801
Practice Address - Country:US
Practice Address - Phone:301-490-4595
Practice Address - Fax:240-264-5931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02632251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care