# MR. ELVIS MBENG NGWEDJANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396227203
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 07/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LIN1890288070 | WORK PERMIT | NJ |