Gloria Adewunmi Eddo
Individual provider Active NPI Home Health Aide · Manassas Park, VA
NPI 1285900936 · NPPES record last updated Mar 27, 2012
Key facts
- NPI
- 1285900936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 8641 Sumter CT
Manassas Park, VA 20111-2365 - Phone
- (571) 267-9166
- NPI assigned
- Mar 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
8641 Sumter CT
Manassas Park, VA 20111-2365
Mailing address
8641 Sumter CT
Manassas Park, VA 20111-2365
Phone (571) 267-9166
Other providers in Manassas Park, VA
- Tia S Coleman
- Brandon Corry
- Hiwot Daniel
- Karen Marie David
- Maritza I Diaz
- Ei Medical, Inc
- Femi Eriagbonye Emefele
- Ruth V Flores
- Sherri Lorraine Funn
- Vansh Ghai
All providers in Manassas Park, VA · Home Health Aide in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.