Provider Demographics
NPI:1124837133
Name:DEBISA, RAHEL AYELE
Entity type:Individual
Prefix:
First Name:RAHEL
Middle Name:AYELE
Last Name:DEBISA
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 1:1528 HEATHER HOLLOW CIR APT 11
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2389
Mailing Address - Country:US
Mailing Address - Phone:202-274-0333
Mailing Address - Fax:
Practice Address - Street 1:1528 HEATHER HOLLOW CIR APT 11
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2389
Practice Address - Country:US
Practice Address - Phone:202-274-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200004338374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide