MEDICARE: BRITTNEY MALLOY

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	251E00000X	Home Health Agency	2074757	DC

General Provider Information

NPI Number	:	1013271519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY MALLOY

Provider Business Mailing Address
First Line	:	5048 C ST SE
Second Line	:	APT 2
City	:	WASHINGTON
State	:	DC
Zip	:	20019-7687
Country	:	US
Telephone Number	:	202-427-1290
Fax Number	:

Provider Business Practice Location Address
First Line	:	5048 C ST SE
Second Line	:	APT 2
City	:	WASHINGTON
State	:	DC
Zip	:	20019-7687
Country	:	US
Telephone Number	:	202-427-1290
Fax Number	:

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

Provider Enumeration Date	:	06/28/2012
Last Update Date	:	06/28/2012

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Directions to “ BRITTNEY MALLOY ” Practice Location

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