Healthcare Provider Details
I. General information
NPI: 1184587701
Provider Name (Legal Business Name): MARION LASHAN HUSSEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12220 ASBURY DR
FORT WASHINGTON MD
20744-6126
US
IV. Provider business mailing address
12220 ASBURY DR
FORT WASHINGTON MD
20744-6126
US
V. Phone/Fax
- Phone: 202-710-6565
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: