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NPI Code Detail

MEDICARE: A1CARE

MEDICARE: A1CARE
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
1261QD1600XDevelopmental Disabilities Clinic/Center

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 : 1326757543
Entity Type Code : Organization
Provider Name (Legal Business Name) : A1CARE
Provider Business Mailing Address
First Line : 1420 N ST NW STE 102
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-2876
Country : US
Telephone Number : 202-817-9630
Fax Number :
Provider Business Practice Location Address
First Line : 1420 N ST NW STE 102
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-2876
Country : US
Telephone Number : 202-817-9630
Fax Number :
Authorized Official
Title or Position : CEO
Name : LEEROY MBUTA
Credential :
Telephone Number : 202-817-9630
Provider Enumeration Date : 11/16/2022
Last Update Date : 11/16/2022

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Directions to “A1CARE ” Practice Location

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