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Organization

LIFE ENHANCEMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLA TUCKER-BEY (COMMUNITY SUPPORT WORKER)
(240) 398-6197
Entity
Organization

Contact information

Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 269-2401
Mailing address
1809 ABERDEEN CIR, CROFTON, MD 21114-1619
(240) 398-6197

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/09/2026
Last updated
01/09/2026
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