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Organization
SECOND CHANCE II INC.
Active
Organization
SECOND CHANCE II INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAMIE LEE BYNUM (PRESIDENT)
(240) 936-3375
Entity
Organization
Contact information
Practice address
1316 RITCHIE PL NE, WASHINGTON, DC 20017-2620
(240) 396-3375
Mailing address
1316 RITCHIE PL NE, WASHINGTON, DC 20017-2620
(240) 396-3375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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