Healthcare Provider Details

I. General information

NPI: 1982532008
Provider Name (Legal Business Name): FESTUS CHE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9767 GOOD LUCK RD APT 7
LANHAM MD
20706-3332
US

IV. Provider business mailing address

9767 GOOD LUCK RD APT 7
LANHAM MD
20706-3332
US

V. Phone/Fax

Practice location:
  • Phone: 240-709-6609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: