Organization
L & R DIVINE CARE, LLC
Active
Other names
L & R Divine Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY JONES (CEO)
(202) 498-3175
Entity
Organization
Contact information
Practice address
4334 GORMAN TER SE, WASHINGTON, DC 20019-4256
(202) 498-3175
Mailing address
4334 GORMAN TER SE, WASHINGTON, DC 20019-4256
(202) 498-3175
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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