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Organization
MEDICAID PROVIDERS, LLC.
Active
Organization
MEDICAID PROVIDERS, LLC.
Active
Other names
Medicaid Personal Providers, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIDIYA F ABRHAM MED. ASIS/PHELOB. (DEPUTY ADMINISTRATOR)
(240) 533-2503
Entity
Organization
Contact information
Practice address
1875 EYE ST NW, SUITE 500, WASHINGTON, DC 20006-5409
(240) 533-2805
(301) 495-6332
Mailing address
1875 EYE ST NW, SUITE 500, WASHINGTON, DC 20006-5409
(240) 533-2805
(301) 495-6332
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PENDING
DC
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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