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Organization

GT INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADHASSA LEWIS (SUPPORT BROKER)
(877) 659-4500
Entity
Organization

Contact information

Practice address
537 PEABODY ST NW APT 3, WASHINGTON, DC 20011-2053
(202) 327-4985
Mailing address
3824 COPPERVILLE WAY, FORT WASHINGTON, MD 20744-1088
(202) 327-4985

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/23/2023
Last updated
10/22/2025
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