Individual
EZELU ENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Mailing address
1416 9TH ST NW, WASHINGTON, DC 20001-3344
(202) 483-9111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
HHA0255
DC
Other
Enumeration date
06/04/2012
Last updated
04/15/2024
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