MEDICARE: CAROLINE NJING

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1154898963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE NJING

Provider Business Mailing Address
First Line	:	5088 SILVER HILL CT APT 204
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5088 SILVER HILL CT APT 204
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2034
Country	:	US
Telephone Number	:	313-915-7245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2018
Last Update Date	:	11/13/2018

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Directions to “ CAROLINE NJING ” Practice Location

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