Organization
BOURN ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO CARVER BROWN (EXECUTIVE DIRECTOR)
(202) 269-1703
Entity
Organization
Contact information
Practice address
2537 BLADENSBURG RD NE, WASHINGTON, DC 20018-1420
(202) 269-1703
Mailing address
2537 BLADENSBURG RD NE, WASHINGTON, DC 20018-1420
(202) 269-1703
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
20378XXXX-67006149
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037519500
—
DC
Enumeration date
12/12/2007
Last updated
12/12/2007
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