| Washington Foundation For Family Life | |
|
1030 Kearney St Ne Washington DC 20017-3518 | |
| (202) 529-9299 | |
| Not Available |
| Full Name | Washington Foundation For Family Life |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 Kearney St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Synthia Johnson (OWNER) |
| Authorized Official Contact | 2025299299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Foundation For Family Life 1030 Kearney St Ne Washington DC 20017-3518 Ph: (202) 529-9299 | Washington Foundation For Family Life 1030 Kearney St Ne Washington DC 20017-3518 Ph: (202) 529-9299 |
| NPI Number | 1043485717 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 11/03/2024 |
| Certification Date | 11/03/2024 |
| Medicare PECOS PAC ID | 0042435786 |
|---|---|
| Medicare Enrollment ID | O20140714000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043485717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Raymond A Ofe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003168964 PECOS PAC ID: 6204149693 Enrollment ID: I20150714001538 |
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