Whalio Doctors

NPI 1215356969

Divine Connect Care INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Washington, DC

Practice location

Address
3115 Georgia Ave NW, Washington, DC 20010-2901
Phone
(202) 241-2723
Mailing address
3115 Georgia Ave NW STE 4, Washington, DC 20010-2901

Authorised official

Name
Felicia Ekeson
Title
President
Phone
(202) 241-2723

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 400312001725 (DC)

Registry record

NPI
1215356969
Entity type
Organization
NPI issued
9 Apr 2014
Record last updated
9 Apr 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.