Provider Demographics
NPI:1144580481
Name:FOSTER, KESHIA (HHA)
Entity Type:Individual
Prefix:
First Name:KESHIA
Middle Name:
Last Name:FOSTER
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 1:875 CHESAPEAKE ST SE
Mailing Address - Street 2:APT 403
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3423
Mailing Address - Country:US
Mailing Address - Phone:202-520-7270
Mailing Address - Fax:
Practice Address - Street 1:4651 NANNIE HELEN BURROUGHS AVE NE
Practice Address - Street 2:APT 704
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3667
Practice Address - Country:US
Practice Address - Phone:202-520-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide