Healthcare Provider Details

I. General information

NPI: 1336053040
Provider Name (Legal Business Name): RUSSELL LEE BATTLE JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 BUTTERWORTH PL NW APT 336
WASHINGTON DC
20016-4564
US

IV. Provider business mailing address

5125 DEAL DR APT 201
OXON HILL MD
20745-2727
US

V. Phone/Fax

Practice location:
  • Phone: 202-350-7544
  • Fax:
Mailing address:
  • Phone: 202-560-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: