Healthcare Provider Details

I. General information

NPI: 1295560449
Provider Name (Legal Business Name): ROSE AFUA DAGHANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4737 QUEENS CHAPEL TER NE
WASHINGTON DC
20017-3138
US

IV. Provider business mailing address

4737 QUEENS CHAPEL TER NE
WASHINGTON DC
20017-3138
US

V. Phone/Fax

Practice location:
  • Phone: 240-457-1029
  • Fax:
Mailing address:
  • Phone: 240-457-1029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200004085
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA200004085
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: