Provider Demographics
NPI:1093055600
Name:DAKIM, EMMANUELA ARIT (HHA)
Entity Type:Individual
Prefix:
First Name:EMMANUELA
Middle Name:ARIT
Last Name:DAKIM
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 1:13801 CASTLE BLVD APT 22
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7304
Mailing Address - Country:US
Mailing Address - Phone:240-476-1951
Mailing Address - Fax:
Practice Address - Street 1:13801 CASTLE BLVD APT 22
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7304
Practice Address - Country:US
Practice Address - Phone:240-476-1951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAHI103566374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide