Healthcare Provider Details

I. General information

NPI: 1578703286
Provider Name (Legal Business Name): PATIENCE HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 05/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6676 GEORGIA AVE NW SUITE 102
WASHINGTON DC
20012-2551
US

IV. Provider business mailing address

6676 GEORGIA AVE NW SUITE 102
WASHINGTON DC
20012-2551
US

V. Phone/Fax

Practice location:
  • Phone: 202-821-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PATIENCE NGWE ANGWAFO
Title or Position: PRESIDENT
Credential:
Phone: 202-821-2300