Individual provider · Type 1 NPI
Prudencia Esamaka Baneni Epse Divine
Attendant Care Provider · Washington, DC
Practice location
1150 12th St NW
Washington, DC 20005-4602
Mailing address
6606 Rycroft Ave
New Carrollton, MD 20784-3652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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About NPI 1336854330
Prudencia Esamaka Baneni Epse Divine's National Provider Identifier is 1336854330, issued on Jan 16, 2023. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Washington, DC. The record was last updated on Jan 16, 2023.