Healthcare Provider Details

I. General information

NPI: 1205048543
Provider Name (Legal Business Name): WASHINGTON-MCLAUGHLIN ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2007
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 POPLAR AVE
TAKOMA PARK MD
20912-4867
US

IV. Provider business mailing address

6501 POPLAR AVE
TAKOMA PARK MD
20912-4867
US

V. Phone/Fax

Practice location:
  • Phone: 301-270-6040
  • Fax: 301-270-5793
Mailing address:
  • Phone: 301-270-6040
  • Fax: 301-270-5793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateDC

VIII. Authorized Official

Name: DR. PAULINE PARTHENIA WASHINGTON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: B.A. B.S. M.A.ED.D
Phone: 301-270-6940