Organization
DIVINE CONNECT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA EKESON (PRESIDENT)
(202) 241-2723
Entity
Organization
Contact information
Practice address
3115 GEORGIA AVE NW, WASHINGTON, DC 20010-2901
(202) 241-2723
Mailing address
3115 GEORGIA AVE NW STE 4, WASHINGTON, DC 20010-2901
(202) 241-2723
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
400312001725
DC
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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