NPI 1194128819

Ics

Organisation Assisted Living Facility (Mental Illness) Washington, DC

Practice location

Address: 1234 Southern Ave SE APT 301, Washington, DC 20032-4620
Phone: (240) 467-4139

Authorised official

Name: Clotilde Andjongo Bitomo
Title: Hha
Phone: (240) 467-4139

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence HHA10972 (DC)

Other Assisted Living Facility providers in District of Columbia →

Registry record

NPI: 1194128819
Entity type: Organization
NPI issued: 8 Oct 2014
Record last updated: 8 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.