Provider Demographics
NPI:1780060525
Name:ALL TIME CARE PROFESSIONALS, LLC
Entity type:Organization
Organization Name:ALL TIME CARE PROFESSIONALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GYAMFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-558-8003
Mailing Address - Street 1:7830 BACKLICK RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2237
Mailing Address - Country:US
Mailing Address - Phone:703-647-6574
Mailing Address - Fax:703-647-6009
Practice Address - Street 1:7830 BACKLICK RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2237
Practice Address - Country:US
Practice Address - Phone:703-647-6574
Practice Address - Fax:703-647-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health