Provider Demographics
NPI:1043619257
Name:GOD CARE OF THEIR ELDERLY
Entity type:Organization
Organization Name:GOD CARE OF THEIR ELDERLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:H
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:571-271-9395
Mailing Address - Street 1:6790 WOOD DUCK CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-9529
Mailing Address - Country:US
Mailing Address - Phone:571-271-9395
Mailing Address - Fax:
Practice Address - Street 1:6790 WOOD DUCK CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-9529
Practice Address - Country:US
Practice Address - Phone:571-271-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty