Individual
IVY L FAUNTROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 5TH ST SE, WASHINGTON, DC 20032-5424
(202) 425-9488
Mailing address
2400 SOUTHERN AVE SE, WASHINGTON, DC 20020-1915
(202) 425-9488
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
05/04/2026
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