MEDICARE: AFBRIMA HOME CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841754439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFBRIMA HOME CARE LLC

Provider Business Mailing Address
First Line	:	11445 COLUMBIA PIKE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2530
Country	:	US
Telephone Number	:	301-906-4245
Fax Number	:

Provider Business Practice Location Address
First Line	:	11445 COLUMBIA PIKE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2530
Country	:	US
Telephone Number	:	301-906-4245
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIGITTE TCHALLA
Credential	:
Telephone Number	:	301-906-4245

Provider Enumeration Date	:	01/28/2019
Last Update Date	:	01/28/2019

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