Organization
PINE CONE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KHALILAH MCCANTS RN (FOUNDER AND CEO)
(202) 641-3963
Entity
Organization
Contact information
Practice address
1309 ROXANNA RD NW, WASHINGTON, DC 20012-1320
(202) 641-3963
Mailing address
1309 ROXANNA RD NW, WASHINGTON, DC 20012-1320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RN1021752
DC
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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