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Organization
DIRECT CARE PEDIATRICS LLC
Active
Organization
DIRECT CARE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAWANDA DAVIES MAKUBIKA (CHIEF EXECUTIVE OFFICER)
(202) 800-9005
Entity
Organization
Contact information
Practice address
7600 GEORGIA AVE NW STE 308, WASHINGTON, DC 20012-1616
(202) 800-9005
(202) 248-2044
Mailing address
7600 GEORGIA AVE NW STE 308, WASHINGTON, DC 20012-1616
(202) 800-9005
(202) 248-2044
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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