MEDICARE: BENICE OROCK PIWO

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	171M00000X	Case Manager/Care Coordinator
4	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1811668494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENICE OROCK PIWO

Provider Business Mailing Address
First Line	:	8916 OXLEY FOREST CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-1791
Country	:	US
Telephone Number	:	301-728-5602
Fax Number	:

Provider Business Practice Location Address
First Line	:	8916 OXLEY FOREST CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-1791
Country	:	US
Telephone Number	:	301-728-5602
Fax Number	:

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

Provider Enumeration Date	:	09/23/2021
Last Update Date	:	06/02/2026

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Directions to “ BENICE OROCK PIWO ” Practice Location

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