MEDICARE: AMANDINE C NAHO

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	3747P1801X	Personal Care Attendant		NJ

General Provider Information

NPI Number	:	1619831161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDINE C NAHO

Provider Business Mailing Address
First Line	:	971 US HIGHWAY 202 N STE N
Second Line	:
City	:	BRANCHBURG
State	:	NJ
Zip	:	08876-3757
Country	:	US
Telephone Number	:	215-602-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	569 RUTHERFORD AVE
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08618-4429
Country	:	US
Telephone Number	:	267-465-1113
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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