MEDICARE: CHANTE N PRICE

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	:	1851854111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANTE N PRICE

Provider Business Mailing Address
First Line	:	2416 ELVANS RD SE APT 203
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3511
Country	:	US
Telephone Number	:	202-739-7190
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 V STREET APT 302
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-2002
Country	:	US
Telephone Number	:	202-276-9797
Fax Number	:

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

Provider Enumeration Date	:	04/12/2019
Last Update Date	:	04/12/2019

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Directions to “ CHANTE N PRICE ” Practice Location

Language	Start Address	Practice Location

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