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NPI Code Detail

MEDICARE: CARE DC LLC

MEDICARE: CARE DC LLC
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
1101YM0800XMental Health Counselor
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1447958244
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE DC LLC
Provider Business Mailing Address
First Line : 1020 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-2923
Country : US
Telephone Number : 27-955-4442
Fax Number :
Provider Business Practice Location Address
First Line : 3703 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2645
Country : US
Telephone Number : 202-795-5444
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JACK BROWN
Credential :
Telephone Number : 718-791-3460
Provider Enumeration Date : 02/21/2023
Last Update Date : 02/21/2023

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Directions to “CARE DC LLC ” Practice Location

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