MEDICARE: ARIE CARTER

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1093206294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIE CARTER

Provider Business Mailing Address
First Line	:	3663 22ND ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-6163
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 CHESAPEAKE ST SE APT B5
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-2828
Country	:	US
Telephone Number	:	301-337-1356
Fax Number	:

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

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	05/23/2018

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Directions to “ ARIE CARTER ” Practice Location

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