MEDICARE: BERN MALICE CHE AZAH

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		DC

General Provider Information

NPI Number	:	1942139761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERN MALICE CHE AZAH

Provider Business Mailing Address
First Line	:	4019 COOPER LN APT A6
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1901
Country	:	US
Telephone Number	:	240-536-3517
Fax Number	:

Provider Business Practice Location Address
First Line	:	4019 COOPER LN APT A6
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1901
Country	:	US
Telephone Number	:	240-536-3517
Fax Number	:

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

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ BERN MALICE CHE AZAH ” Practice Location

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