# YAHWEH RESIDENTIAL SERVICE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669278784
- **Authorized official:** ISABELL PROSPER (OWNER)
- **Authorized official phone:** (347) 709-6480

## Contact information

- **Practice address:** 2 WISCONSIN CIR STE 700, CHEVY CHASE, MD 20815-7007
- **Practice address phone:** (347) 709-6480
- **Mailing address:** 2 WISCONSIN CIR STE 700, CHEVY CHASE, MD 20815-7007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2025
- **Last updated:** 02/20/2025