NPI 1245610807

Epic Life INC.

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

Practice location

Address: 2305 Minnesota Ave SE, Washington, DC 20020-5325
Phone: (240) 641-2674
Fax: (240) 280-8460
Mailing address: 1523 White Pl SE Lower Level, Washington, DC 20020-5343

Authorised official

Name: Ydia Gordon
Title: Ceo
Phone: (240) 641-2674

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in District of Columbia →

Registry record

NPI: 1245610807
Entity type: Organization
NPI issued: 8 Jun 2015
Record last updated: 8 Jun 2015

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.