Healthcare Provider Details

I. General information

NPI: 1790823326
Provider Name (Legal Business Name): GENTLE MOVEMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 EVARTS ST NE
WASHINGTON DC
20002-1006
US

IV. Provider business mailing address

26 EVARTS ST NE
WASHINGTON DC
20002-1006
US

V. Phone/Fax

Practice location:
  • Phone: 202-667-0172
  • Fax: 202-609-9726
Mailing address:
  • Phone: 202-667-0172
  • Fax: 202-609-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberB42065
License Number StateDC

VIII. Authorized Official

Name: SUNDAY OTOIDE
Title or Position: VICE PRESIDENT
Credential:
Phone: 202-372-5781