Provider Demographics
NPI:1689134223
Name:GEORGE, TEBOH NJOFRI (HHA)
Entity Type:Individual
Prefix:MR
First Name:TEBOH NJOFRI
Middle Name:
Last Name:GEORGE
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13906 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1382
Mailing Address - Country:US
Mailing Address - Phone:240-593-2294
Mailing Address - Fax:
Practice Address - Street 1:13906 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1382
Practice Address - Country:US
Practice Address - Phone:240-593-2294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide