# ST AGNES HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Agnes Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205691953
- **Authorized official:** MR. VALANTINE ANGWAFOR (C.E.O)
- **Authorized official phone:** (571) 447-2698

## Contact information

- **Practice address:** 1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
- **Practice address phone:** (571) 447-2698
- **Mailing address:** 1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
- **Mailing address phone:** (571) 447-2698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2024
- **Last updated:** 02/29/2024