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Organization

MARTHA'S HEALTH SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ATIM TENDOH KIMBENG (CEO)
(240) 423-8469
Entity
Organization

Contact information

Practice address
1818 NEW YORK AVE NE # DC, WASHINGTON, DC 20002-1848
(240) 423-8469
Mailing address
8701 PARLIAMENT DR, SPRINGFIELD, VA 22151-1224
(240) 423-8469

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
10/07/2020
Last updated
04/10/2023
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