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NPI Code Detail

MEDICARE: MUTEEAT TAIYE SAKA

MEDICARE:   MUTEEAT TAIYE SAKA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2171M00000XCase Manager/Care Coordinator
3374U00000XHome Health Aide

General Provider Information

NPI Number : 1003510629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUTEEAT TAIYE SAKA
Provider Business Mailing Address
First Line : 267 RED CLAY RD APT 301
Second Line :
City : LAUREL
State : MD
Zip : 20724-2321
Country : US
Telephone Number : 240-486-7374
Fax Number :
Provider Business Practice Location Address
First Line : 267 RED CLAY RD APT 301
Second Line :
City : LAUREL
State : MD
Zip : 20724-2321
Country : US
Telephone Number : 240-486-7374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2023
Last Update Date : 03/25/2026

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Directions to “ MUTEEAT TAIYE SAKA ” Practice Location

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