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Organization
MYCARE LLC
Active
Organization
MYCARE LLC
Active
Other names
Mycare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE TIMAH TATABOD RN (CEO)
(508) 345-0973
Entity
Organization
Contact information
Practice address
1802 VERNON ST NW # 1022, WASHINGTON, DC 20009-1217
(508) 345-0973
Mailing address
1802 VERNON ST NW # 1022, WASHINGTON, DC 20009-1217
(508) 345-0973
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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