Individual
JAVIS TITA ACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1836 METZEROTT RD APT 302, ADELPHI, MD 20783-3442
(240) 659-8662
Mailing address
1836 METZEROTT RD APT 302, ADELPHI, MD 20783-3442
(240) 659-8662
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004755
DC
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
03/16/2026
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