Organization
RENAISSANCE ADHC @ FOOTE ST
Active
Other names
Renaissance Adult Day Healthcare Center at Foote st
Organization subpart
No
Provider details
NPI number
Authorized official
VALERYA LERA BALANNIK (PARTNER)
(240) 506-6846
Entity
Organization
Contact information
Practice address
5214 FOOTE ST NE, WASHINGTON, DC 20019-6657
(240) 506-6846
Mailing address
8945 N WESTLAND DR #304, GAITHERSBURG, MD 20877
(240) 506-6846
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013078055
—
DC
05
—
078520900
—
DC
Enumeration date
10/07/2015
Last updated
06/27/2022
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