Healthcare Provider Details

I. General information

NPI: 1699695247
Provider Name (Legal Business Name): DEMETRIUS LOVELL PRICE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 62ND ST NE APT 304
WASHINGTON DC
20019-2831
US

IV. Provider business mailing address

1411 BELLE HAVEN DR
HYATTSVILLE MD
20785-4416
US

V. Phone/Fax

Practice location:
  • Phone: 240-900-7691
  • Fax:
Mailing address:
  • Phone: 202-553-9567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: