NPI 1801060900

New Life Community Service, LLC

Organisation Preferred Provider Organization Washington, DC

Practice location

Address: 1403 Hamllin Street, N.E., Washington, DC 20017
Phone: (202) 269-1140
Fax: (202) 269-4503
Mailing address: P.O. Box 5592, Hyattsville, MD 20782

Authorised official

Name: Renee Belfon
Title: Resident Director
Phone: (202) 269-1140

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence ALR-0025 (DC)

Other Preferred Provider Organization providers in District of Columbia →

Registry record

NPI: 1801060900
Entity type: Organization
NPI issued: 18 Apr 2008
Record last updated: 13 Aug 2010

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.