MEDICARE: FLORENCE NTOH

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	:	1801158779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORENCE NTOH

Provider Business Mailing Address
First Line	:	1911 ERIE ST
Second Line	:	APT 101
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-2330
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 ERIE ST
Second Line	:	APT 101
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-2330
Country	:	US
Telephone Number	:	301-326-1261
Fax Number	:

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

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	06/15/2012

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Directions to “ FLORENCE NTOH ” Practice Location

Language	Start Address	Practice Location

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