Provider Demographics
NPI:1114287646
Name:ACHA, MARGARET FUABEH
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:FUABEH
Last Name:ACHA
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 1:6718 TERRA ALTA DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3748
Mailing Address - Country:US
Mailing Address - Phone:440-749-6462
Mailing Address - Fax:
Practice Address - Street 1:6718 TERRA ALTA DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3748
Practice Address - Country:US
Practice Address - Phone:440-749-6462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA200586264472374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide