Provider Demographics
NPI:1598406928
Name:AKWO, ESHIE LEDI
Entity Type:Individual
Prefix:
First Name:ESHIE LEDI
Middle Name:
Last Name:AKWO
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 1:4508 FORT TOTTEN DR NE APT 9
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7524
Mailing Address - Country:US
Mailing Address - Phone:623-265-8649
Mailing Address - Fax:
Practice Address - Street 1:410 37TH PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3276
Practice Address - Country:US
Practice Address - Phone:623-265-8649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator