Organization
ROCK OF AGES HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES AKUM MBAH (MR/ADMINISTRATOR)
(202) 829-1119
Entity
Organization
Contact information
Practice address
7059 BLAIR RD NW STE 202, WASHINGTON, DC 20012-1960
(202) 829-1119
(202) 829-0077
Mailing address
7059 BLAIR RD NW STE 202, WASHINGTON, DC 20012-1960
(202) 829-1119
(202) 829-0077
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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