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NPI Code Detail

MEDICARE: RITA MBANGAH HHA

MEDICARE: RITA MBANGAH HHA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1578820387
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA MBANGAH HHA
Provider Business Mailing Address
First Line : 2600 BRYAN PL SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-4417
Country : US
Telephone Number : 202-255-2574
Fax Number :
Provider Business Practice Location Address
First Line : 2600 BRYAN PL SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-4417
Country : US
Telephone Number : 202-255-2574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 07/31/2023

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Directions to “ RITA MBANGAH HHA” Practice Location

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