| Life Enhancement Services, Llc | |
|
1818 New York Ave Ne Ste 115 Washington DC 20002-1851 | |
| (202) 269-2401 | |
| (202) 269-2402 |
| Full Name | Life Enhancement Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1818 New York Ave Ne Ste 115, Washington, District Of Columbia |
| Authorized Official Name and Position | Herbert Gray (MANAGER) |
| Authorized Official Contact | 7045604332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services, Llc 13016 Eastfield Rd Ste 200-269 Huntersville NC 28078-6622 Ph: (704) 560-4332 | Life Enhancement Services, Llc 1818 New York Ave Ne Ste 115 Washington DC 20002-1851 Ph: (202) 269-2401 |
| NPI Number | 1093100950 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093100950 | NPI | - | NPPES |
| 050018500 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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