MEDICARE: ANTHONY AKALI HHA

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

General Provider Information

NPI Number	:	1619237666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY AKALI HHA

Provider Business Mailing Address
First Line	:	11357 COLUMBIA PIKE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2511
Country	:	US
Telephone Number	:	202-545-0935
Fax Number	:

Provider Business Practice Location Address
First Line	:	11357 COLUMBIA PIKE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2511
Country	:	US
Telephone Number	:	202-545-0935
Fax Number	:

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

Provider Enumeration Date	:	05/24/2012
Last Update Date	:	05/24/2012

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