Organization
ATLAS PROFESSIONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE NATO ITOKA I (OWNER)
(240) 643-4919
Entity
Organization
Contact information
Practice address
16 LINDA CT APT A, GAITHERSBURG, MD 20877-3084
(240) 643-4919
Mailing address
16 LINDA CT APT A, GAITHERSBURG, MD 20877-3084
(240) 643-4919
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424051100
—
MD
Enumeration date
01/10/2019
Last updated
01/10/2019
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