Provider Demographics
NPI:1699272849
Name:ASONGANYI, NOELA FOWUNG (HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:NOELA
Middle Name:FOWUNG
Last Name:ASONGANYI
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3822 THORNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2542
Mailing Address - Country:US
Mailing Address - Phone:240-825-7084
Mailing Address - Fax:
Practice Address - Street 1:3822 THORNWOOD RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-2542
Practice Address - Country:US
Practice Address - Phone:240-825-7084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13574374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide