Organization
JP INTEGRAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CAICEDO (EXECUTIVE DIRECTOR)
(202) 256-5742
Entity
Organization
Contact information
Practice address
4922C LASALLE RD, HYATTSVILLE, MD 20782-3302
(202) 256-5742
Mailing address
5820 INMAN PARK CIR APT 110, NORTH BETHESDA, MD 20852-5475
(202) 256-5742
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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