Healthcare Provider Details

I. General information

NPI: 1700705282
Provider Name (Legal Business Name): HIWOT LEMA TULU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 24TH ST NW APT 515
WASHINGTON DC
20037-2508
US

IV. Provider business mailing address

4825 W BRADDOCK RD APT 200
ALEXANDRIA VA
22311-4825
US

V. Phone/Fax

Practice location:
  • Phone: 917-403-8334
  • 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 StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: