Provider Demographics
NPI:1760936397
Name:SEGED, ROZA KIFIOM (HHA)
Entity Type:Individual
Prefix:MISS
First Name:ROZA
Middle Name:KIFIOM
Last Name:SEGED
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 KERNS RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-4231
Mailing Address - Country:US
Mailing Address - Phone:202-563-8690
Mailing Address - Fax:202-563-8692
Practice Address - Street 1:6625 KERNS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-4231
Practice Address - Country:US
Practice Address - Phone:202-378-0738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA12159374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide