Neh Bouesela

Individual provider Active NPI Home Health Aide · Forestville, MD

NPI 1710320734 · NPPES record last updated Apr 9, 2013

Key facts

NPI
1710320734
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
3336 Pumphrey Dr
Forestville, MD 20747-4307
Phone
(020) 722-7776
NPI assigned
Apr 9, 2013
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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

3336 Pumphrey Dr
Forestville, MD 20747-4307

Mailing address

3336 Pumphrey Dr
Forestville, MD 20747-4307

Other providers in Forestville, MD

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

Sources for this page

Verify at the official NPI Registry.