Provider Demographics
NPI:1700145935
Name:WILEY, HANAN (HHA)
Entity type:Individual
Prefix:
First Name:HANAN
Middle Name:
Last Name:WILEY
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 LANGSTON PL SE
Mailing Address - Street 2:301
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3204
Mailing Address - Country:US
Mailing Address - Phone:443-271-1615
Mailing Address - Fax:
Practice Address - Street 1:2728 LANGSTON PL SE
Practice Address - Street 2:301
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3204
Practice Address - Country:US
Practice Address - Phone:443-271-1615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide