Provider Demographics
NPI:1255691499
Name:NUEL-EJIOFOR, OBIAGELI D (HOME CARE AIDE)
Entity Type:Individual
Prefix:
First Name:OBIAGELI
Middle Name:D
Last Name:NUEL-EJIOFOR
Suffix:
Gender:F
Credentials:HOME CARE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 18TH STREET NE
Mailing Address - Street 2:T AND N RELIABLE NURSING
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018
Mailing Address - Country:US
Mailing Address - Phone:202-529-6510
Mailing Address - Fax:202-529-6570
Practice Address - Street 1:3500 18TH STREET, NE
Practice Address - Street 2:T AND N RELIABLE NURSING CARE, LLC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018
Practice Address - Country:US
Practice Address - Phone:202-529-0082
Practice Address - Fax:202-529-6570
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide