Provider Demographics
NPI:1821357450
Name:APPIAH, EBENEZER EBOYIN (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MR
First Name:EBENEZER
Middle Name:EBOYIN
Last Name:APPIAH
Suffix:
Gender:M
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 FORT MEADE RD
Mailing Address - Street 2:APT # 802
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4409
Mailing Address - Country:US
Mailing Address - Phone:240-786-7732
Mailing Address - Fax:
Practice Address - Street 1:200 FORT MEADE RD
Practice Address - Street 2:APT # 802
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4409
Practice Address - Country:US
Practice Address - Phone:240-786-7732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide