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NPI Code Detail

MEDICARE: LAUNCH,LLC

MEDICARE: LAUNCH,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
1251S00000XCommunity/Behavioral Health AgencyDC

General Provider Information

NPI Number : 1629232962
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUNCH,LLC
Provider Business Mailing Address
First Line : 6856 EASTERN AVE NW
Second Line : SUITE 211
City : WASHINGTON
State : DC
Zip : 20012-2165
Country : US
Telephone Number : 202-291-0951
Fax Number : 202-723-2549
Provider Business Practice Location Address
First Line : 6856 EASTERN AVE NW
Second Line : SUITE 211
City : WASHINGTON
State : DC
Zip : 20012-2165
Country : US
Telephone Number : 202-291-0951
Fax Number : 202-723-2549
Authorized Official
Title or Position : CEO/PRESIDENT
Name : MS. RHONDA BASKERVILLE
Credential :
Telephone Number : 202-497-8530
Provider Enumeration Date : 07/16/2008
Last Update Date : 07/21/2022

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Directions to “LAUNCH,LLC ” Practice Location

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