Atahsirri Abongwa

Individual provider Active NPI Home Health Aide · Greenbelt, MD

NPI 1366847352 · NPPES record last updated Nov 3, 2014

Key facts

NPI
1366847352
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
HHA10976 (DC)
Practice address
8681 Greenbelt Rd
Apt#102
Greenbelt, MD 20770
Phone
(405) 361-3547
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HHA10976DCMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA10976 DC Yes

Addresses

Primary practice location

8681 Greenbelt Rd
Apt#102
Greenbelt, MD 20770

Mailing address

8681 Greenbelt Rd
Greenbelt, MD 20770-2433
Phone (405) 361-3547

Other providers in Greenbelt, MD

All providers in Greenbelt, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.