Provider Demographics
NPI:1063959716
Name:LOFTEN, DIANE
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:LOFTEN
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 1:3657 B ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7303
Mailing Address - Country:US
Mailing Address - Phone:202-581-1228
Mailing Address - Fax:202-581-1228
Practice Address - Street 1:3657 B ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7303
Practice Address - Country:US
Practice Address - Phone:202-581-1228
Practice Address - Fax:202-581-1228
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant