Individual ProviderKah Blandine Fon NwiekeriCase Manager/Care CoordinatorOther Service ProvidersPractice Address3831 Pennsylvania Ave SE, Washington, DC 20020-1309(202) 583-4879(240) 564-0726PECOS EnrollmentBased on the most recent information from CMS, provider Kah Blandine Fon Nwiekeri does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1467261339Provider TypeIndividualFull NameFon Nwiekeri, Kah BlandineGenderFemaleSole ProprietorYesEnumeration Date1/4/2025Last Updated1/4/2025Contact InformationPractice LocationPractice Address3831 Pennsylvania Ave SE, Washington, DC 20020-1309Phone(202) 583-4879FaxUnlisted FaxMailing LocationMailing Address3333 Buchanan St Apt 202, Mount Rainier, MD 20712-1122Phone(240) 564-0726FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseLICSWWashington