Individual provider · Type 1 NPI

Jude Thaddeus Yusimbom Song, HOME HEALTH AIDE

Licensed Practical Nurse · Washington, DC

NPI number 1033626635 Active

Practice location

2811 Pennsylvania Ave SE
Washington, DC 20020-3865

Call (202) 894-6811 Map

Fax (202) 894-6811

Mailing address

5501 Doris Ct
Bladensburg, MD 20710-1649

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Home Health Aide 374U00000XHHA13466 (DC)
Nurse's Aide 376K00000X256963753 (DC)
Licensed Practical Nurse Primary 164W00000XLPN200002497 (DC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1033626635

Jude Thaddeus Yusimbom Song, HOME HEALTH AIDE's National Provider Identifier is 1033626635, issued on Jan 4, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Washington, DC. The record was last updated on Aug 14, 2023.