Provider Demographics
NPI:1376064832
Name:DENBEL, BETELHEM TADESSE
Entity Type:Individual
Prefix:
First Name:BETELHEM
Middle Name:TADESSE
Last Name:DENBEL
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 1:735 SLIGO AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4747
Mailing Address - Country:US
Mailing Address - Phone:301-873-9611
Mailing Address - Fax:
Practice Address - Street 1:735 SLIGO AVE APT 208
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4747
Practice Address - Country:US
Practice Address - Phone:301-873-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
DCHHA14382374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant