Organization
RENAISSANCE ADHC AT FOOTE ST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERYA LERA BALANNIK (PARTNER)
(240) 506-6846
Entity
Organization
Contact information
Practice address
5214 FOOTE STREET, NE, WASHINGTON, DC 20019
(202) 388-6747
(888) 584-7137
Mailing address
8945 NORTH WESTLAND DRIVE, #304, GAITHERSBURG, MD 20877
(240) 506-6846
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
DC
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
09/15/2015
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