Organization
EPIC LIFE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YDIA GORDON (CEO)
(240) 641-2674
Entity
Organization
Contact information
Practice address
2305 MINNESOTA AVE SE, WASHINGTON, DC 20020-5325
(240) 641-2674
(240) 280-8460
Mailing address
1523 WHITE PL SE, LOWER LEVEL, WASHINGTON, DC 20020-5343
(240) 641-2674
(240) 280-8460
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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