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NPI Code Detail

MEDICARE: PRECIOUS LUMNWI NEBA

MEDICARE: PRECIOUS LUMNWI NEBA
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

General Provider Information

NPI Number : 1366202483
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRECIOUS LUMNWI NEBA
Provider Business Mailing Address
First Line : 1223 CHILLUM RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-2237
Country : US
Telephone Number : 227-213-9987
Fax Number :
Provider Business Practice Location Address
First Line : 1223 CHILLUM RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-2237
Country : US
Telephone Number : 227-213-9987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 03/19/2024

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Directions to “ PRECIOUS LUMNWI NEBA ” Practice Location

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