| Rebound Health And Wellness Services Inc | |
|
4645 Nannie Helen Burroughs Ave Ne Ste 101 Washington DC 20019-3622 | |
| (202) 459-9866 | |
| (888) 316-9392 |
| Full Name | Rebound Health And Wellness Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4645 Nannie Helen Burroughs Ave Ne Ste 101, Washington, District Of Columbia |
| Authorized Official Name and Position | Elston Eugene Johnson (CEO/PRESIDENT) |
| Authorized Official Contact | 2024599866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebound Health And Wellness Services Inc 4645 Nannie Helen Burroughs Ave Ne Washington DC 20019-3622 Ph: (202) 459-9866 | Rebound Health And Wellness Services Inc 4645 Nannie Helen Burroughs Ave Ne Ste 101 Washington DC 20019-3622 Ph: (202) 459-9866 |
| NPI Number | 1609414994 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609414994 | NPI | - | NPPES |
| 400316002097 | Other | DC | BASIC BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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