Whalio Doctors

NPI 1629433248

Serenity Workforce Development Institute

Organisation Health Maintenance Organization Washington, DC

Practice location

Address
1629 K St NW, Washington, DC 20006-1602
Phone
(202) 373-2853
Fax
(202) 506-3712
Mailing address
1718 5th St NW, Washington, DC 20001-1818

Authorised official

Name
Roosevelt Cohens
Title
Ceo
Phone
(202) 373-2853

Registered specialties (2)

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence LC50080419 (DC)
Preferred Provider Organization
Managed Care Organizations Taxonomy 305R00000X Licence LC50080419 (DC)

Registry record

NPI
1629433248
Entity type
Organization
NPI issued
26 Dec 2015
Record last updated
26 Dec 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.