Provider Demographics
NPI:1154213429
Name:DEJENE, SEBLE ZEWDE
Entity type:Individual
Prefix:
First Name:SEBLE
Middle Name:ZEWDE
Last Name:DEJENE
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 1:1131 UNIVERSITY BLVD W APT 1422
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3311
Mailing Address - Country:US
Mailing Address - Phone:240-701-8415
Mailing Address - Fax:
Practice Address - Street 1:1131 UNIVERSITY BLVD W APT 1422
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3311
Practice Address - Country:US
Practice Address - Phone:240-701-8415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200005163374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide