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Organization
NEW LIFE COMMUNITY SERVICE, LLC
Active
Organization
NEW LIFE COMMUNITY SERVICE, LLC
Active
Other names
New Life Community Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE BELFON (RESIDENT DIRECTOR)
(202) 269-1140
Entity
Organization
Contact information
Practice address
1403 HAMLLIN STREET, N.E., WASHINGTON, DC 20017
(202) 269-1140
(202) 269-4503
Mailing address
P.O. BOX 5592, HYATTSVILLE, MD 20782
(202) 390-2106
(202) 832-0209
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ALR-0025
DC
Other
Enumeration date
04/18/2008
Last updated
08/13/2010
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