Revelo, Iliana
Revelo, Iliana is an sole proprietor health care provider with primary practice located at Tierno Home Support Agency 1752 Columbia Road, Washington Dc DC 20009. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Revelo, Iliana can be contacted via phone (202) 808-2365.Contact Information
Primary practice address
Tierno Home Support Agency 1752 Columbia Road
Washington Dc DC 20009
Phone: (202) 808-2365
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Home Health Aide | 374U00000X | HHA200001234 | District of Columbia |
Profile Details
NPI number | 1336871532 |
---|---|
LBN Legal business name | Revelo, Iliana |
Credentials | HHA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2022 |
Last updated | Jun 27th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336871532 | NPPES |
District of Columbia | Other | 3497503 | DRIVER LICENSE NUMBER |
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