MEDICARE: JAMES ROLAND MAKAL

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1306551510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ROLAND MAKAL

Provider Business Mailing Address
First Line	:	115 COLLEGE STATION DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-1234
Country	:	US
Telephone Number	:	240-602-4012
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 B ST SE APT 120
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-7317
Country	:	US
Telephone Number	:	202-889-5490
Fax Number	:

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

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/23/2023

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Directions to “ JAMES ROLAND MAKAL ” Practice Location

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