Organization
KC COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELIA DEAN (OPERATIONS SPECIALIST)
(240) 565-7624
Entity
Organization
Contact information
Practice address
2412 MINNESOTA AVE SE, UNIT A, WASHINGTON, DC 20020-5300
(202) 957-7456
(202) 747-7754
Mailing address
2412 MINNESOTA AVE SE, UNIT A, WASHINGTON, DC 20020-5300
(202) 957-7456
(202) 747-7754
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042350200
—
DC
Enumeration date
12/12/2011
Last updated
10/23/2023
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