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NPI 1477078186

IndividualActive

Ade Tayim

NPI 1477078186 · Case Manager/Care Coordinator · Upper Marlboro, MD

Provider details

NPI number: 1477078186
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: No
License: HHA12952 (WA)

Practice location

1203 Redcrested Ct

Upper Marlboro, MD 20774-7081

Phone: (301) 683-4579

More MD providers

Mailing address

1203 Redcrested Ct

Upper Marlboro, MD 20774-7081

Registry dates

Enumerated: 2017-08-03
Last updated: 2024-01-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ade Tayim — NPI 1477078186, Upper Marlboro, MD | NPI Central