MEDICARE: T&N RELIEBLE NURSING CARE

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

General Provider Information

NPI Number	:	1033477955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&N RELIEBLE NURSING CARE

Provider Business Mailing Address
First Line	:	1620 CONSTITUTION AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-6503
Country	:	US
Telephone Number	:	202-603-5271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 CONSTITUTION AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-6503
Country	:	US
Telephone Number	:	202-603-5271
Fax Number	:

Authorized Official
Title or Position	:	HHA
Name	:	PAMELA A BROWN
Credential	:
Telephone Number	:	202-603-5271

Provider Enumeration Date	:	04/28/2012
Last Update Date	:	04/28/2012

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