Organization
JERMON & DIEGO HOMES
Active
Parent organization
4 HEAVEN'S SAKE HOMECARE & TRANSPORTATION
Other names
My Brothers Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
4 HEAVEN'S SAKE HOMECARE & TRANSPORTATION
Authorized official
MRS. KEVISHA CHEVELLE DREW CNA,EKG,HHA,MEDICAL (OWNER)
18005039702
Entity
Organization
Contact information
Practice address
1208 50TH PL NE, WASHINGTON, DC 20019-4011
(800) 503-9702
(202) 388-0729
Mailing address
1208 50TH PL NE, WASHINGTON, DC 20019-4011
(800) 503-9702
(202) 388-0729
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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