Organization
AUSPICIOUS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAMA WILSON RN (CEO)
(202) 991-7575
Entity
Organization
Contact information
Practice address
6007 7TH PL NW, WASHINGTON, DC 20011-1261
(202) 991-7575
Mailing address
6007 7TH PL NW, WASHINGTON, DC 20011-1261
(202) 991-7575
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400322806170
DCRA BUSINESS LICENSE
DC
Enumeration date
06/20/2022
Last updated
06/20/2022
Update your record
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