Individual
NGOH A ACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 KINGSHILL ST, BOWIE, MD 20721-2035
(240) 696-9394
Mailing address
1502 KINGSHILL ST, BOWIE, MD 20721-2035
(240) 696-9394
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
HHA200003342
DC
376K00000X
Nurse's Aide
—
MD
Other
Enumeration date
04/29/2022
Last updated
03/21/2025
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