Basic Information
| Provider Information | |||||||||
| NPI: | 1053679571 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EGEBE | ||||||||
| FirstName: | NEVILLE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1818 NEW YORK AVE | ||||||||
| Address2: | SUITE 117 GLOBAL HEALTHCARE INC. | ||||||||
| City: | NE | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024800813 | ||||||||
| FaxNumber: | 2025032363 | ||||||||
| Practice Location | |||||||||
| Address1: | 1818 NEW YORK AVE | ||||||||
| Address2: | SUITE 117 GLOBAL HEALTHCARE INC. | ||||||||
| City: | NE | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024800813 | ||||||||
| FaxNumber: | 2025032363 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2012 | ||||||||
| LastUpdateDate: | 08/28/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374U00000X | N | Nursing Service Related Providers | Home Health Aide | 163W00000X | RN1046073 | DC | Y | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Providers | Registered Nurse |
No ID Information.