# ICARE HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1740998327
- **Authorized official:** RUTH WILLIAMS NP (OWNER)
- **Authorized official phone:** (240) 466-2855

## Contact information

- **Practice address:** 4645 NANNIE HELEN BURROUGHS AVE NE STE 107, WASHINGTON, DC 20019-3622
- **Practice address phone:** (240) 466-2855
- **Mailing address:** 4645 NANNIE HELEN BURROUGHS AVE NE STE 107, WASHINGTON, DC 20019-3622
- **Mailing address phone:** (240) 466-2855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2022
- **Last updated:** 10/30/2024
