MEDICARE: JENEBA BAH

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	HHA12135	DC
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1922457670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENEBA BAH

Provider Business Mailing Address
First Line	:	6608 ADRIAN ST
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-3610
Country	:	US
Telephone Number	:	240-696-9518
Fax Number	:

Provider Business Practice Location Address
First Line	:	6608 ADRIAN ST
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-3610
Country	:	US
Telephone Number	:	240-696-9518
Fax Number	:

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

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	02/20/2025

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Directions to “ JENEBA BAH ” Practice Location

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