MEDICARE: LOVELINE TEKE

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	HHA12412	DC

General Provider Information

NPI Number	:	1881143949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOVELINE TEKE

Provider Business Mailing Address
First Line	:	10100 RIDGE ST
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-4754
Country	:	US
Telephone Number	:	240-481-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	10100 RIDGE ST
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-4754
Country	:	US
Telephone Number	:	240-714-7982
Fax Number	:

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

Provider Enumeration Date	:	09/29/2016
Last Update Date	:	03/12/2018

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Directions to “ LOVELINE TEKE ” Practice Location

Language	Start Address	Practice Location

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