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Organization

UNIVERSAL HEALTHCARE

Active
Other names
Management Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE VANESSA LEWIS LICSW, ACSW, CAS (CLINICAL DIRECTOR)
(202) 583-1181
Entity
Organization

Contact information

Practice address
3230 PENNSYLVANIA AVE SE, SUITE 213, WASHINGTON, DC 20020-3722
(202) 583-1181
(202) 583-1186
Mailing address
3230 PENNSYLVANIA AVE SE, SUITE 213, WASHINGTON, DC 20020-3722
(202) 583-1181
(202) 583-1186

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
45678932189099999999
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14678988888888854327
DC
Enumeration date
07/08/2006
Last updated
07/21/2022
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