Individual
MISS AUGUSTINE MICHELLE BANGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVENUE, WASHINGTON, DC 20012
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEORGIA AVENUE, WASHINGTON, DC 20012
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HHA9654
DC
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
HHA9654
DC
374U00000X
Home Health Aide
Primary
HHA9654
DC
Other
Enumeration date
09/27/2013
Last updated
11/30/2015
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