Individual provider · NPI-1
Martin Achaleke
Home Health Aide · Bowie, MD
NPI number1366709594
StatusActive
Last updated in NPPESApr 12, 2012
Details
- NPI
- 1366709594
- Entity type
- Individual (NPI-1)
- Name
- Martin Achaleke
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2012
- Last updated
- Apr 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
4703 River Valley WayBowie, MD 20720-3432
Phone 202-722-1725
Mailing address
4703 River Valley WayBowie, MD 20720-3432
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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