Marlin Bruce

Individual provider Active NPI Home Health Aide · Washington, DC

NPI 1407409576 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1407409576
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5542 B St SE
Washington, DC 20019-6356
Phone
(301) 665-6283
NPI assigned
Jul 18, 2019
Sex
Male
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X DC Yes

Addresses

Primary practice location

5542 B St SE
Washington, DC 20019-6356

Mailing address

5542 B St SE
Washington, DC 20019-6356
Phone (301) 665-6283

Other providers in Washington, DC

All providers in Washington, DC · Home Health Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.