Provider Demographics
NPI:1942885181
Name:CECITOP, LLC
Entity Type:Organization
Organization Name:CECITOP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:EMESONG
Authorized Official - Last Name:TANGIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-386-9686
Mailing Address - Street 1:6776 REAL PRINCESS LN
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4214
Mailing Address - Country:US
Mailing Address - Phone:240-386-9686
Mailing Address - Fax:
Practice Address - Street 1:6776 REAL PRINCESS LN
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-4214
Practice Address - Country:US
Practice Address - Phone:240-386-9686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care