# OUR EMMANUEL LNC

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

## Provider details

- **NPI number:** 1558999896
- **Authorized official:** OLADAPO DANIEL ADEYALE (COO)
- **Authorized official phone:** (301) 256-4724

## Contact information

- **Practice address:** 2301 GEORGIA AVE NW STE D, WASHINGTON, DC 20001-3000
- **Practice address phone:** (202) 996-0125
- **Mailing address:** 5639 ANNAPOLIS RD, BLADENSBURG, MD 20710-2212
- **Mailing address phone:** (301) 699-3344

## Taxonomy

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

## Other

- **Enumeration date:** 03/31/2020
- **Last updated:** 03/31/2020