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NPI Code Detail

MEDICARE: SARAH ROSE C BONKE

MEDICARE:   SARAH ROSE C BONKE
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
1374U00000XHome Health AideHHA200002153DC

General Provider Information

NPI Number : 1568198067
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ROSE C BONKE
Provider Business Mailing Address
First Line : 7401 NEW HAMPSHIRE AVE
Second Line :
City : TAKOMA PARK
State : MD
Zip : 20912-6945
Country : US
Telephone Number : 240-701-0286
Fax Number :
Provider Business Practice Location Address
First Line : 7401 NEW HAMPSHIRE AVE
Second Line :
City : TAKOMA PARK
State : MD
Zip : 20912-6945
Country : US
Telephone Number : 240-701-0286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2022
Last Update Date : 03/20/2026

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Directions to “ SARAH ROSE C BONKE ” Practice Location

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