Individual ProviderMulugeta TeclabRegistered NurseNursing Service ProvidersPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616(202) 723-3060(202) 709-0813PECOS EnrollmentBased on the most recent information from CMS, provider Mulugeta Teclab 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 4 days ago.Profile DetailsProvider ID1629639646Provider TypeIndividualFull NameTeclab, MulugetaGenderMaleSole ProprietorNoEnumeration Date6/21/2019Last Updated7/1/2019Contact InformationPractice LocationPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616Phone(202) 723-3060FaxUnlisted FaxMailing LocationMailing Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616Phone(202) 709-0813FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN1047522District of Columbia