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NPI Code Detail

MEDICARE: YEMESRACH G HAYLEMESKEL I

MEDICARE:   YEMESRACH G HAYLEMESKEL I
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 AideHHA13403DC

General Provider Information

NPI Number : 1982110961
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEMESRACH G HAYLEMESKEL I
Provider Business Mailing Address
First Line : 5104 N CAPITOL ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-6712
Country : US
Telephone Number : 301-364-6460
Fax Number :
Provider Business Practice Location Address
First Line : 5104 N CAPITOL ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-6712
Country : US
Telephone Number : 301-364-6460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 12/28/2017

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Directions to “ YEMESRACH G HAYLEMESKEL I ” Practice Location

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