Organization
ELAINE ELLIS CENTER OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN RENEE WALKER (CEO)
(202) 803-2340
Entity
Organization
Contact information
Practice address
1627 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 803-2340
(202) 803-2350
Mailing address
1627 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 803-2340
(202) 803-2350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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