MEDICARE: FLORENCE AFI BEKPO

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	B-210-255-027-187	MD

General Provider Information

NPI Number	:	1508127044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORENCE AFI BEKPO

Provider Business Mailing Address
First Line	:	1113 QUEBEC ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-3207
Country	:	US
Telephone Number	:	301-328-6388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 QUEBEC ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-3207
Country	:	US
Telephone Number	:	301-328-6388
Fax Number	:

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

Provider Enumeration Date	:	05/31/2012
Last Update Date	:	05/31/2012

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Directions to “ FLORENCE AFI BEKPO ” Practice Location

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