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DC HEALTH CARE, INC.

Intermediate Care Mentally Retarded

Washington, District Of Columbia

Provider NPI: 1033320668

Organization Information:
Organization Name:  DC HEALTH CARE, INC.
Organization is not Subpart
Authorized Official:  GRACY  STEPHEN  PRESIDENT  202-5472008

Practice Location:
121 TUCKERMAN ST NE  WASHINGTON, DC 20011 US
Tel: 202-547-2008  Fax: 202-547-2331

Business Mailing Address:
429 FLORIDA AVE NE  WASHINGTON, DC 20002 US
Tel: 202-547-2008  Fax: 202-547-2331

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
DCHFD03-0286

Other Provider Identifiers:

IssuerNumberStateType
027017800DC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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