ICS

NPI # 

Practice Address:

1234 Southern Ave Se Apt 301

Washington, DC, 20032-4620

Practice Phone:

240-467-4139

License Number:

HHA10972

License State:

DC

Taxonomy Grouping:

Nursing & Custodial Care Facilities

Taxonomy Classification:

Assisted Living Facility

Taxonomy Specialization:

Assisted Living, Mental Illness

Taxonomy Code:

3104A0625X