Organization
DESTINY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MEKOUKAM (CEO/WONER)
(202) 486-9171
Entity
Organization
Contact information
Practice address
1050 CONNECTICUT AVE NW, 10TH FLOOR, WASHINGTON, DC 20036-5303
(202) 486-9171
Mailing address
1050 CONNECTICUT AVE NW, 10TH FLOOR, WASHINGTON, DC 20036-5303
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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