Organization
OUR EMMANUEL LNC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADAPO DANIEL ADEYALE (COO)
(301) 256-4724
Entity
Organization
Contact information
Practice address
2301 GEORGIA AVE NW STE D, WASHINGTON, DC 20001-3000
(202) 996-0125
Mailing address
5639 ANNAPOLIS RD, BLADENSBURG, MD 20710-2212
(301) 699-3344
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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