Organization
BENWELL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BETRAND NYONG (CEO)
(773) 200-5655
Entity
Organization
Contact information
Practice address
2001 L ST NW SUITE 500, WASHINGTON, DC 20036-4955
(773) 200-5655
Mailing address
2001 L ST NW STE 500, WASHINGTON, DC 20036-4955
(773) 200-5655
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
310400000X
Assisted Living Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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