Healthcare Provider Details

I. General information

NPI: 1790548147
Provider Name (Legal Business Name): B&G SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 50TH PL NE
WASHINGTON DC
20019-5542
US

IV. Provider business mailing address

845 50TH PL NE
WASHINGTON DC
20019-5542
US

V. Phone/Fax

Practice location:
  • Phone: 202-369-5340
  • Fax: 202-399-0382
Mailing address:
  • Phone: 202-369-5340
  • Fax: 202-399-0382

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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RASHE BRONNER
Title or Position: DIRECTOR
Credential:
Phone: 202-369-5340