Organization
NEXT PHASE ALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALELA ROBBIE DIXON MPA (OWNER)
(202) 905-8202
Entity
Organization
Contact information
Practice address
18 53RD ST SE, WASHINGTON, DC 20019-6534
(202) 905-8202
Mailing address
18 53RD ST SE, WASHINGTON, DC 20019-6534
(202) 905-8202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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