Ticha Leonie Tifuh | Washington Dc, MD • PECOS Search

Ticha Leonie Tifuh

Case Manager/Care Coordinator

Other Service Providers

2811 Pennslyvania Ave SE, Washington Dc, MD 20020

(202) 894-6811 (240) 605-3689

PECOS Enrollment

Based on the most recent information from CMS, provider Ticha Leonie Tifuh does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1447029228
Provider Type
Individual
Full Name
Tifuh, Ticha Leonie
Gender
Female

Sole Proprietor
No
Enumeration Date
12/21/2023
Last Updated
12/21/2023

Contact Information

Practice Location

2811 Pennslyvania Ave SE, Washington Dc, MD 20020

Unlisted Fax

Mailing Location

7401 New Hampshire Ave, Silver Spring, MD 20912-6945

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer