Organization
LIFE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN OLIVER (PRESIDENT)
(202) 487-5667
Entity
Organization
Contact information
Practice address
1496 BANGOR ST SE, WASHINGTON, DC 20020-4963
(202) 487-5667
Mailing address
2403 IRVING ST NE, WASHINGTON, DC 20018-2536
(202) 487-5667
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
DC
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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