# CAMELOT HOME CARE SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417219809
- **Authorized official:** ELIZABETH K FAGUNWA HHA (CEO)
- **Authorized official phone:** (202) 379-5382

## Contact information

- **Practice address:** 30 KENNEDY ST NW, 110B, WASHINGTON, DC 20011-5219
- **Practice address phone:** (202) 379-5382
- **Mailing address:** 30 KENNEDY ST NW STE, 110B, WASHINGTON, DC 20011-5219
- **Mailing address phone:** (202) 379-5382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | NSA 0274 | DC | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012