Provider Demographics
NPI:1518227123
Name:BAH, SALAMATA YERO (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MS
First Name:SALAMATA
Middle Name:YERO
Last Name:BAH
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 BELCREST RD
Mailing Address - Street 2:APT # 717
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1398
Mailing Address - Country:US
Mailing Address - Phone:301-523-9071
Mailing Address - Fax:
Practice Address - Street 1:6700 BELCREST RD
Practice Address - Street 2:APT # 717
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1398
Practice Address - Country:US
Practice Address - Phone:301-523-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide