Healthcare Provider Details

I. General information

NPI: 1740496785
Provider Name (Legal Business Name): MULTI THERAPEUTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 CONNECTICUT AVE NW
WASHINGTON DC
20008-1158
US

IV. Provider business mailing address

4201 CONNECTICUT AVE NW
WASHINGTON DC
20008-1158
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-4500
  • Fax: 202-244-8048
Mailing address:
  • Phone: 202-244-4500
  • Fax: 202-244-8048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BENTLEY ADRIAN HAMILTON
Title or Position: PRESIDENT
Credential:
Phone: 202-244-4500