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NPI Code Detail

MEDICARE: PREVENTIVE MEASURES OF WASH DC,LLC

MEDICARE: PREVENTIVE MEASURES OF WASH DC,LLC
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
1251S00000XCommunity/Behavioral Health Agency70104845DC

General Provider Information

NPI Number : 1801193198
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREVENTIVE MEASURES OF WASH DC,LLC
Provider Business Mailing Address
First Line : 2124 MARTIN LUTHER KING JR AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-5732
Country : US
Telephone Number : 484-226-0986
Fax Number :
Provider Business Practice Location Address
First Line : 2124 MARTIN LUTHER KING JR AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-5732
Country : US
Telephone Number : 202-563-7632
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CFO
Name : ERIN HARRIS
Credential :
Telephone Number : 484-226-0986
Provider Enumeration Date : 02/22/2011
Last Update Date : 10/15/2024

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