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Organization

NISSI HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALBERT KWIMI (SUPERVISOR)
(202) 450-3108
Entity
Organization

Contact information

Practice address
6856 EASTERN AVE NW # 307A, WASHINGTON, DC 20012-2165
(202) 450-3108
(202) 450-3109
Mailing address
6856 EASTERN AVE NW # 307A, WASHINGTON, DC 20012-2165
(202) 450-3108
(202) 450-3109

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
06/18/2012
Last updated
06/18/2012
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