Provider Demographics
NPI:1093291304
Name:OKOYE, PRECIOUS EBERE
Entity Type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:EBERE
Last Name:OKOYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6531 LANDOVER RD APT 304
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1431
Mailing Address - Country:US
Mailing Address - Phone:240-471-5396
Mailing Address - Fax:
Practice Address - Street 1:6531 LANDOVER RD APT 304
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1431
Practice Address - Country:US
Practice Address - Phone:240-471-5396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13818374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide