Provider Demographics
NPI:1336846369
Name:E & G ALLIED HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:E & G ALLIED HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:SIMILADE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADETUNJI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:240-401-5260
Mailing Address - Street 1:1600 BELLE DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1147
Mailing Address - Country:US
Mailing Address - Phone:240-401-5260
Mailing Address - Fax:240-425-4255
Practice Address - Street 1:1600 BELLE DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1147
Practice Address - Country:US
Practice Address - Phone:240-401-5260
Practice Address - Fax:240-425-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health