| Lifetree Health, Inc | |
|
2041 Martin Luther King Jr Ave Se Ll2 Washington DC 20020-7024 | |
| (202) 506-1124 | |
| (202) 610-2699 |
| Full Name | Lifetree Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2041 Martin Luther King Jr Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Joey Jenkins (CEO) |
| Authorized Official Contact | 2025061124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetree Health, Inc 2041 Martin Luther King Jr Ave Se Ll2 Washington DC 20020-7024 Ph: (202) 506-1124 | Lifetree Health, Inc 2041 Martin Luther King Jr Ave Se Ll2 Washington DC 20020-7024 Ph: (202) 506-1124 |
| NPI Number | 1851777189 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 8224339221 |
|---|---|
| Medicare Enrollment ID | O20151216002248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851777189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Cleveland Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417197435 PECOS PAC ID: 1658429295 Enrollment ID: I20090508000087 |
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