Healthcare Provider Details

I. General information

NPI: 1568386423
Provider Name (Legal Business Name): EDLYN PHILLIP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 HAYES ST NE APT 8
WASHINGTON DC
20019-3557
US

IV. Provider business mailing address

4001 HAYES ST NE APT 6
WASHINGTON DC
20019-3557
US

V. Phone/Fax

Practice location:
  • Phone: 202-388-1970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: