Healthcare Provider Details

I. General information

NPI: 1982951521
Provider Name (Legal Business Name): DEJA MONE EDMUNDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 38TH ST SE APT 101
WASHINGTON DC
20020-2436
US

IV. Provider business mailing address

2004 38TH ST SE APT 101
WASHINGTON DC
20020-2436
US

V. Phone/Fax

Practice location:
  • Phone: 202-696-7070
  • Fax:
Mailing address:
  • Phone: 202-696-7070
  • 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: