| E&j Restoration Health Services Llc | |
|
1226 Montello Ave Ne Washington DC 20002-3804 | |
| (202) 352-4059 | |
| Not Available |
| Full Name | E&j Restoration Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1226 Montello Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Abong Miyeh (CO-OWNER) |
| Authorized Official Contact | 2023524059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E&j Restoration Health Services Llc 1226 Montello Ave Ne Washington DC 20002-3804 Ph: (202) 352-4059 | E&j Restoration Health Services Llc 1226 Montello Ave Ne Washington DC 20002-3804 Ph: (202) 352-4059 |
| NPI Number | 1265276851 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Medicare PECOS PAC ID | 9638605124 |
|---|---|
| Medicare Enrollment ID | O20241206002433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265276851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Abong N Miyeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770843385 PECOS PAC ID: 4486001856 Enrollment ID: I20231106003798 |
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