MEDICARE: URBAN HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1003265554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBAN HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	1729 L ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3021
Country	:	US
Telephone Number	:	240-286-3301
Fax Number	:

Provider Business Practice Location Address
First Line	:	1729 L ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3021
Country	:	US
Telephone Number	:	240-286-3301
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. LARRY UDORJI
Credential	:
Telephone Number	:	240-286-3301

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	06/06/2016

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Directions to “URBAN HEALTH SERVICES, INC ” Practice Location

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