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NPI Code Detail

MEDICARE: MS. BEJA JAIMIA FORKA HHA

MEDICARE: MS. BEJA JAIMIA FORKA 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1801152343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BEJA JAIMIA FORKA HHA
Provider Business Mailing Address
First Line : 821 KENNEDY ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-2913
Country : US
Telephone Number : 202-722-1725
Fax Number : 202-722-1726
Provider Business Practice Location Address
First Line : 821 KENNEDY ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-2913
Country : US
Telephone Number : 202-722-1725
Fax Number : 202-722-1726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2012
Last Update Date : 04/10/2012

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Directions to “ MS. BEJA JAIMIA FORKA HHA” Practice Location

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