Provider Demographics
NPI:1568827855
Name:ATEHAKOH, MARRITA (HHA)
Entity Type:Individual
Prefix:
First Name:MARRITA
Middle Name:
Last Name:ATEHAKOH
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:MARRITA
Other - Middle Name:
Other - Last Name:ATEHAKOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HHA
Mailing Address - Street 1:5644 WHITFIELD CHAPEL RD
Mailing Address - Street 2:APT 202
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5644 WHITFIELD CHAPEL RD
Practice Address - Street 2:APT 202
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2560
Practice Address - Country:US
Practice Address - Phone:301-937-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11749374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide