MEDICARE: ROSE LECHEDEM

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
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1306307558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE LECHEDEM

Provider Business Mailing Address
First Line	:	5120 SARGENT RD NE APT 102
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2830
Country	:	US
Telephone Number	:	202-751-7055
Fax Number	:

Provider Business Practice Location Address
First Line	:	5120 SARGENT RD NE APT 102
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2830
Country	:	US
Telephone Number	:	202-751-7055
Fax Number	:

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

Provider Enumeration Date	:	03/29/2019
Last Update Date	:	06/13/2023

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Directions to “ ROSE LECHEDEM ” Practice Location

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