MEDICARE: MS. EDITH E AKANJI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	251S00000X	Community/Behavioral Health Agency
3	374U00000X	Home Health Aide
4	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447515143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EDITH E AKANJI

Provider Business Mailing Address
First Line	:	2226 BRIGHTSEAT RD APT 102
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-3518
Country	:	US
Telephone Number	:	240-413-8969
Fax Number	:	202-291-4009

Provider Business Practice Location Address
First Line	:	2226 BRIGHTSEAT RD APT 102
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-3518
Country	:	US
Telephone Number	:	240-413-8969
Fax Number	:	202-291-4009

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	07/25/2023

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