Provider Demographics
NPI:1942976253
Name:LELINU, CASILIA A
Entity Type:Individual
Prefix:
First Name:CASILIA
Middle Name:A
Last Name:LELINU
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 1:6003 67TH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1756
Mailing Address - Country:US
Mailing Address - Phone:202-294-0545
Mailing Address - Fax:
Practice Address - Street 1:4401 CLERMONT DR NE APT 124
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4996
Practice Address - Country:US
Practice Address - Phone:202-445-9416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant