Healthcare Provider Details
I. General information
NPI: 1770931479
Provider Name (Legal Business Name): HANNAH NENEH SESAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2016
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9921 GREENBELT RD APT 102
LANHAM MD
20706-2248
US
IV. Provider business mailing address
9921 GREENBELT RD APT 102
LANHAM MD
20706-2248
US
V. Phone/Fax
- Phone: 202-569-3765
- Fax:
- Phone: 301-247-8833
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | A00156607 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | HHA14790 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: