Individual provider · Type 1 NPI
Rediat Tadesse
Assisted Living Facility · Fort Washington, MD
NPI number
1225864663
Active
Practice location
12213 Old Fort Rd
Fort Washington, MD 20744-2714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL-00288 (MD) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1225864663
Rediat Tadesse's National Provider Identifier is 1225864663, issued on Sep 11, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fort Washington, MD. The record was last updated on Sep 11, 2024.