Organization
COMMUNITY OF HOPE INC.
Active
Other names
Covenant
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SWEENEY MCSHANE (EXECUTIVE DIRECTOR)
(202) 407-7746
Entity
Organization
Contact information
Practice address
3845 S CAPITOL ST SW, WASHINGTON, DC 20032-1419
(202) 407-7747
Mailing address
1717 MASSACHUSETTS AVE NW, SUITE 805, WASHINGTON, DC 20036-2001
(202) 407-7747
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037409300
—
DC
Enumeration date
11/23/2011
Last updated
11/23/2011
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