Provider Demographics
NPI:1699654517
Name:DIVINE TOUCH HEALING MEDICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:DIVINE TOUCH HEALING MEDICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-522-5509
Mailing Address - Street 1:904 ARBOR PARK PL
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3171
Mailing Address - Country:US
Mailing Address - Phone:240-522-5509
Mailing Address - Fax:
Practice Address - Street 1:904 ARBOR PARK PL
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3171
Practice Address - Country:US
Practice Address - Phone:240-522-5509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care