Provider Demographics
NPI:1609219054
Name:ANYE, ROSE LUM
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:LUM
Last Name:ANYE
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 1:1516 DECEMBER DR
Mailing Address - Street 2:APT 102
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3617
Mailing Address - Country:US
Mailing Address - Phone:443-529-5973
Mailing Address - Fax:
Practice Address - Street 1:1516 DECEMBER DR
Practice Address - Street 2:APT 102
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3617
Practice Address - Country:US
Practice Address - Phone:443-529-2973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAHI 103618251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care