Healthcare Provider Details

I. General information

NPI: 1487027306
Provider Name (Legal Business Name): ESTHER OKOLIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 03/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3698 HAYES ST NE APT 202
WASHINGTON DC
20019-7545
US

IV. Provider business mailing address

3698 HAYES ST NE APARTMENT 202
WASHINGTON DC
20019-7545
US

V. Phone/Fax

Practice location:
  • Phone: 202-617-8426
  • Fax:
Mailing address:
  • Phone: 202-617-8426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: