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NPI Code Detail

MEDICARE: THE ARMY DISTAFF FOUNDATION INC

MEDICARE: THE ARMY DISTAFF FOUNDATION 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
1314000000XSkilled Nursing FacilityHFD020022DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316946668
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ARMY DISTAFF FOUNDATION INC
Provider Business Mailing Address
First Line : 6200 OREGON AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20015-1543
Country : US
Telephone Number : 202-541-0307
Fax Number : 202-364-2856
Provider Business Practice Location Address
First Line : 6200 OREGON AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20015-1543
Country : US
Telephone Number : 202-541-0307
Fax Number : 202-364-2856
Authorized Official
Title or Position : COO
Name : MRS. REMI ACKERMAN
Credential :
Telephone Number : 202-541-0101
Provider Enumeration Date : 07/19/2005
Last Update Date : 06/26/2024

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Directions to “THE ARMY DISTAFF FOUNDATION INC ” Practice Location

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