MEDICARE: EMERENCIA ABO ANARABAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1003175001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMERENCIA ABO ANARABAN

Provider Business Mailing Address
First Line	:	1418 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5615
Country	:	US
Telephone Number	:	202-796-5000
Fax Number	:	202-204-5758

Provider Business Practice Location Address
First Line	:	1418 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5615
Country	:	US
Telephone Number	:	202-436-5191
Fax Number	:	202-204-5758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2012
Last Update Date	:	08/24/2023

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Directions to “ EMERENCIA ABO ANARABAN ” Practice Location

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