Provider Demographics
NPI:1073170999
Name:ADAMS, ANN IMAOBONG (HHA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:IMAOBONG
Last Name:ADAMS
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 BRUCE PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-2879
Mailing Address - Country:US
Mailing Address - Phone:202-288-8471
Mailing Address - Fax:
Practice Address - Street 1:1751 BRUCE PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2879
Practice Address - Country:US
Practice Address - Phone:202-288-8471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-27
Last Update Date:2019-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health