Organization
NEW GLORY COMMUNITY VISION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE EVANS (CEO)
(202) 422-6221
Entity
Organization
Contact information
Practice address
4116 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-1325
(202) 422-6221
Mailing address
4116 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-1325
(202) 422-6221
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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