Healthcare Provider Details

I. General information

NPI: 1376943597
Provider Name (Legal Business Name): PALISADES HEALTHCARE PARTNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 08/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 JEFFERSON PL NW
WASHINGTON DC
20036-2505
US

IV. Provider business mailing address

1822 JEFFERSON PL NW
WASHINGTON DC
20036-2505
US

V. Phone/Fax

Practice location:
  • Phone: 202-293-2931
  • Fax: 202-293-3480
Mailing address:
  • Phone: 202-293-2931
  • Fax: 202-293-3480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. WEHIBA KALIFA
Title or Position: CHAIRPERSON
Credential:
Phone: 310-980-3834