Healthcare Provider Details

I. General information

NPI: 1447549167
Provider Name (Legal Business Name): ARMED FORCES RETIREMENT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 N CAPITOL ST NW HEALTH CARE SERVICES
WASHINGTON DC
20011-8400
US

IV. Provider business mailing address

3700 N CAPITOL ST NW HEALTH CARE SERVICES
WASHINGTON DC
20011-8400
US

V. Phone/Fax

Practice location:
  • Phone: 202-730-3327
  • Fax: 202-730-3016
Mailing address:
  • Phone: 202-730-3327
  • Fax: 202-730-3016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateDC

VIII. Authorized Official

Name: DR. SISSAY AWOKE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-730-3327