Roscoe L Craig III

Individual provider Active NPI Personal Care Attendant · Washington, DC

NPI 1639710064 · NPPES record last updated Oct 7, 2019

Key facts

NPI
1639710064
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1420 Saratoga Ave NE Apt 5
Washington, DC 20018-1916
Phone
(202) 286-7875
NPI assigned
Oct 7, 2019
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X DC
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1420 Saratoga Ave NE Apt 5
Washington, DC 20018-1916

Mailing address

1435 Montana Ave NE
Washington, DC 20018-3430
Phone (202) 286-7875

Other providers in Washington, DC

All providers in Washington, DC · Personal Care Attendant in District of Columbia

Sources for this page

Verify at the official NPI Registry.