MEDICARE: PATIENCE OBEH UJOR

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356938625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATIENCE OBEH UJOR

Provider Business Mailing Address
First Line	:	3614 KEY TURN ST
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-3940
Country	:	US
Telephone Number	:	202-316-9306
Fax Number	:

Provider Business Practice Location Address
First Line	:	3614 KEY TURN ST
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-3940
Country	:	US
Telephone Number	:	202-316-9306
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	12/21/2020

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Directions to “ PATIENCE OBEH UJOR ” Practice Location

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