Individual provider · Type 1 NPI

Divine Fomulyam

Personal Care Attendant · Washington, DC

NPI number 1629772629 Active

Practice location

213 L St SW
Washington, DC 20024-3607

Call (240) 899-4815 Map

Mailing address

14912 Doveheart Ln
Bowie, MD 20721-3079

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1629772629

Divine Fomulyam's National Provider Identifier is 1629772629, issued on Mar 27, 2023. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Washington, DC. The record was last updated on Mar 27, 2023.