Healthcare Provider Details

I. General information

NPI: 1780194076
Provider Name (Legal Business Name): SAMARITAN INNS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 HARVARD ST NW
WASHINGTON DC
20009-4610
US

IV. Provider business mailing address

2523 14TH ST NW
WASHINGTON DC
20009-6952
US

V. Phone/Fax

Practice location:
  • Phone: 202-234-0904
  • Fax: 202-234-0907
Mailing address:
  • Phone: 202-667-8831
  • Fax: 202-667-8024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number68005800
License Number StateDC

VIII. Authorized Official

Name: LAWRENCE HUFF
Title or Position: PRESIDENT & CEO
Credential:
Phone: 202-667-8831