Provider Demographics
NPI:1770833097
Name:MILHOUSE, DIONNA J
Entity Type:Individual
Prefix:
First Name:DIONNA
Middle Name:J
Last Name:MILHOUSE
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 1:66 WEBSTER ST, NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1008
Mailing Address - Country:US
Mailing Address - Phone:202-394-4289
Mailing Address - Fax:
Practice Address - Street 1:66 WEBSTER ST, NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1008
Practice Address - Country:US
Practice Address - Phone:202-394-4289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA6560374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC144023OtherHOME CARE UNIVERSITY
DCHHA6560Medicare Oscar/Certification