NPI 1578014130

Home Health Aid

Organisation Personal Emergency Response Attendant New Carrollton, MD

Practice location

Address: 5822 Mentana St 5, New Carrollton, MD 20784-3505
Phone: (240) 467-1546
Mailing address: 5822 Mentana St, New Carrollton, MD 20784-3505

Authorised official

Name: Izimekwa I Ondepe
Title: M
Phone: (240) 467-1546

Registered specialties

Personal Emergency Response Attendant Primary

Emergency Medical Service Providers Taxonomy 146D00000X Licence HHA12447 (DC)

Other Personal Emergency Response Attendant providers in Maryland →

Registry record

NPI: 1578014130
Entity type: Organization
NPI issued: 19 Oct 2016
Record last updated: 19 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.