Healthcare Provider Details
I. General information
NPI: 1104229327
Provider Name (Legal Business Name): GLOBAL HEALTH SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2014
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1219 CARROLLSBURG PL SW APARTMENT A
WASHINGTON DC
20024-4136
US
IV. Provider business mailing address
1219 CARROLLSBURG PL SW APARTMENT A
WASHINGTON DC
20024-4136
US
V. Phone/Fax
- Phone: 202-277-4858
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BAKARI
MCKENNEY
Title or Position: CHIEF OFFICER
Credential:
Phone: 202-277-4858