Individual
NO GIVEN NAME IVO ACHA KEYAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10723 MARIETTA ST, GLENN DALE, MD 20769-9406
(202) 823-0323
Mailing address
10723 MARIETTA ST, GLENN DALE, MD 20769-9406
(202) 823-0323
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
DC
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
04/15/2026
Last updated
04/21/2026
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