MEDICARE: LOVELINE AFUANKENG

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	374U00000X	Home Health Aide	12714	DC
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1346775426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOVELINE AFUANKENG

Provider Business Mailing Address
First Line	:	5021 TOWNSEND WAY APT C4
Second Line	:
City	:	BLADENSBURG
State	:	MD
Zip	:	20710-1880
Country	:	US
Telephone Number	:	240-487-8813
Fax Number	:

Provider Business Practice Location Address
First Line	:	1427 GOOD HOPE RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5614
Country	:	US
Telephone Number	:	202-836-4841
Fax Number	:	202-836-4842

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

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	10/25/2023

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