Healthcare Provider Details

I. General information

NPI: 1366984676
Provider Name (Legal Business Name): DAMIEN MINISTRIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2016
Last Update Date: 11/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 RHODE ISLAND AVE NE
WASHINGTON DC
20018-2827
US

IV. Provider business mailing address

2200 RHODE ISLAND AVE NE
WASHINGTON DC
20018-2827
US

V. Phone/Fax

Practice location:
  • Phone: 202-526-3020
  • Fax: 202-526-9770
Mailing address:
  • Phone: 202-526-3020
  • Fax: 202-526-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. GAIL OLIVER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 202-526-3020