MEDICARE: SCRUPLES CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1104976216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCRUPLES CORPORATION

Provider Business Mailing Address
First Line	:	2811 PENNSYLVANIA AVE SE
Second Line	:	2ND FLOOR
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3865
Country	:	US
Telephone Number	:	202-581-2455
Fax Number	:	202-581-2459

Provider Business Practice Location Address
First Line	:	2811 PENNSYLVANIA AVE SE
Second Line	:	2ND FLOOR
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3865
Country	:	US
Telephone Number	:	202-581-2455
Fax Number	:	202-581-2459

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. SHARON ANGELETE YORKE-CYRUS
Credential	:
Telephone Number	:	202-581-2455

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	01/04/2008

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Directions to “SCRUPLES CORPORATION ” Practice Location

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