Individual ProviderNeiville Aghandum TeziCase Manager/Care CoordinatorOther Service ProvidersPractice Address6715 Lamont Dr, 2041 Mlk Jr. Ave Se, Suite, DC 20020(240) 487-8072PECOS EnrollmentBased on the most recent information from CMS, provider Neiville Aghandum Tezi 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 ID1922794122Provider TypeIndividualFull NameTezi, Neiville AghandumTitleMr.GenderMaleSole ProprietorYesEnumeration Date4/12/2023Last Updated6/1/2023Contact InformationPractice LocationPractice Address6715 Lamont Dr, 2041 Mlk Jr. Ave Se, Suite, DC 20020Phone(240) 487-8072FaxUnlisted FaxMailing LocationMailing Address6715 Lamont Dr, Lanham, MD 20706-3734Phone(240) 487-8072FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer