Organization
FIRST HERITAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIS PORO ADAIR (OWNER/PRESIDENT)
(301) 974-5254
Entity
Organization
Contact information
Practice address
711 QUACKENBOS ST NW, WASHINGTON, DC 20011-1211
(301) 974-5254
Mailing address
711 QUACKENBOS ST NW, WASHINGTON, DC 20011-1211
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/05/2009
Last updated
12/05/2009
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