Organization
EARTH ANGELS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA EZE RN,BSN (OWNER)
(301) 213-9925
Entity
Organization
Contact information
Practice address
2602 SOMERTON CT, BOWIE, MD 20721-2981
(301) 213-9925
Mailing address
2602 SOMERTON CT, BOWIE, MD 20721-2981
(301) 213-9925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22494
MD
225X00000X
Occupational Therapist
—
MD
251E00000X
Home Health Agency
Primary
R2770R
MD
302R00000X
Health Maintenance Organization
R2770R
MD
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
R2770R
MD
Other
Enumeration date
10/13/2009
Last updated
01/23/2020
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