Healthcare Provider Details
I. General information
NPI: 1487167631
Provider Name (Legal Business Name): HELEN DEGIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/09/2017
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7826 EASTERN AVE NW STE LL16
WASHINGTON DC
20012-1328
US
IV. Provider business mailing address
1451 SHERIDAN ST NW APT 304
WASHINGTON DC
20011-8039
US
V. Phone/Fax
- Phone: 202-723-1100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: