Provider Demographics
NPI:1669052965
Name:ALAMBEH, ALAHMBONG
Entity type:Individual
Prefix:
First Name:ALAHMBONG
Middle Name:
Last Name:ALAMBEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6931 ALLISON ST APT D1
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2037
Mailing Address - Country:US
Mailing Address - Phone:202-820-2802
Mailing Address - Fax:
Practice Address - Street 1:7740 FINNS LN APT C1
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1323
Practice Address - Country:US
Practice Address - Phone:202-820-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA15741374U00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide