Organization
NEW LIFE COMMUNITY SERVICE, LLC
Active
Other names
New Life Community Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE BELFON (RESIDENT DIRECTOR)
(202) 269-1140
Entity
Organization
Contact information
Practice address
1403 HAMLLIN STREET, N.E., WASHINGTON, DC 20017
(202) 269-1140
(202) 269-4503
Mailing address
P.O. BOX 5592, HYATTSVILLE, MD 20782
(202) 390-2106
(202) 832-0209
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ALR-0025
DC
Other
Enumeration date
04/18/2008
Last updated
08/13/2010
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