Provider Demographics
NPI:1902161078
Name:GETACHEW, GENET GETACHEW (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MS
First Name:GENET
Middle Name:GETACHEW
Last Name:GETACHEW
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 JONES LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1883
Mailing Address - Country:US
Mailing Address - Phone:240-264-0938
Mailing Address - Fax:
Practice Address - Street 1:2352 JONES LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-1883
Practice Address - Country:US
Practice Address - Phone:240-264-0938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide