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NPI Code Detail

MEDICARE: ROSETTA C PERRY

MEDICARE: ROSETTA C PERRY
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
1374U00000XHome Health Aide
2172V00000XCommunity Health Worker
3171M00000XCase Manager/Care CoordinatorDC

General Provider Information

NPI Number : 1225762420
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSETTA C PERRY
Provider Business Mailing Address
First Line : 3304 CLAVIER PL
Second Line :
City : CLINTON
State : MD
Zip : 20735-1014
Country : US
Telephone Number : 202-650-9377
Fax Number :
Provider Business Practice Location Address
First Line : 2124 MARTIN LUTHER KING JR AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-5732
Country : US
Telephone Number : 202-563-7632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 02/05/2026

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Directions to “ ROSETTA C PERRY ” Practice Location

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