MEDICARE: FLING WALKING ELOVE SR.

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	172V00000X	Community Health Worker		MD

General Provider Information

NPI Number	:	1528992419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLING WALKING ELOVE SR.

Provider Business Mailing Address
First Line	:	6823 W FOREST RD APT 103
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-3336
Country	:	US
Telephone Number	:	240-722-2914
Fax Number	:	240-722-2914

Provider Business Practice Location Address
First Line	:	6823 W FOREST RD APT 103
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-3336
Country	:	US
Telephone Number	:	240-722-2914
Fax Number	:	240-722-2914

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ FLING WALKING ELOVE SR. ” Practice Location

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