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Contact Information

STACY A GREEN
6480 NEW HAMPSHIRE AVE
TAKOMA PARK, MD20912
 Phone: 301-326-4607
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for STACY A GREEN · (Female)

NPI Number 1245590900
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2012
Last updated 10/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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