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NPI Code Detail

MEDICARE: HEALTHY OPPORTUNITIES TO MAINTAIN ONE'S EQUILIBRIUM, LLC

MEDICARE: HEALTHY OPPORTUNITIES TO MAINTAIN ONE'S EQUILIBRIUM, 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
1251E00000XHome Health AgencyRN44278DC

General Provider Information

NPI Number : 1558640631
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY OPPORTUNITIES TO MAINTAIN ONE'S EQUILIBRIUM, LLC
Provider Business Mailing Address
First Line : 1508 MONTANA AVENUE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2006
Country : US
Telephone Number : 202-832-5386
Fax Number :
Provider Business Practice Location Address
First Line : 1508 MONTANA AVENUE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2006
Country : US
Telephone Number : 202-832-5386
Fax Number :
Authorized Official
Title or Position : CHIEF NURSING ADMINISTRATOR
Name : MRS. PAULETTE LEONIE STANCIL
Credential : RN
Telephone Number : 202-832-5386
Provider Enumeration Date : 08/08/2011
Last Update Date : 08/08/2011

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Directions to “HEALTHY OPPORTUNITIES TO MAINTAIN ONE'S EQUILIBRIUM, LLC ” Practice Location

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