Provider Demographics
NPI:1841861499
Name:SAVAGE, ALICIA K
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:K
Last Name:SAVAGE
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 1:8700 POST OAK WAY
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4734
Mailing Address - Country:US
Mailing Address - Phone:240-338-8042
Mailing Address - Fax:
Practice Address - Street 1:8700 POST OAK WAY
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4734
Practice Address - Country:US
Practice Address - Phone:240-338-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion