Provider Demographics
NPI:1083961395
Name:AMOBI, BLESSING (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MS
First Name:BLESSING
Middle Name:
Last Name:AMOBI
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6119 LANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1017
Mailing Address - Country:US
Mailing Address - Phone:301-996-1000
Mailing Address - Fax:
Practice Address - Street 1:6119 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1017
Practice Address - Country:US
Practice Address - Phone:301-996-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide