Healthcare Provider Details
I. General information
NPI: 1700794088
Provider Name (Legal Business Name): AREGASH TOLLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 GEORGIA AVE NW STE 308
WASHINGTON DC
20012-1616
US
IV. Provider business mailing address
8560 2ND AVE
SILVER SPRING MD
20910-6300
US
V. Phone/Fax
- Phone: 202-800-9005
- 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: