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NPI Code Detail

MEDICARE: EMMACH SERVICES, INC.

MEDICARE: EMMACH SERVICES, INC.
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
1305S00000XPoint of ServiceLC2248MD
2251E00000XHome Health AgencyR2414MD

General Provider Information

NPI Number : 1518150770
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMMACH SERVICES, INC.
Provider Business Mailing Address
First Line : 7333 NEW HAMPSHIRE AVE
Second Line : SUITE 905
City : TAKOMA PARK
State : MD
Zip : 20912-6958
Country : US
Telephone Number : 301-445-2258
Fax Number : 301-445-1098
Provider Business Practice Location Address
First Line : 7333 NEW HAMPSHIRE AVE
Second Line : SUITE 905
City : TAKOMA PARK
State : MD
Zip : 20912-6958
Country : US
Telephone Number : 301-445-2258
Fax Number : 301-445-1098
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOSEPH ATSIANZALE WAKHANALA
Credential : LCPC
Telephone Number : 301-445-2258
Provider Enumeration Date : 08/21/2007
Last Update Date : 08/21/2007

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