Healthcare Provider Details
I. General information
NPI: 1295004810
Provider Name (Legal Business Name): VALRICA GILYARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/28/2011
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 GEORGIA AVE NW STE 323
WASHINGTON DC
20012-1616
US
IV. Provider business mailing address
4856 BROOKS ST NE
WASHINGTON DC
20019-4656
US
V. Phone/Fax
- Phone: 202-723-3060
- Fax: 202-723-3065
- Phone: 202-469-9992
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: