Organization
PEACEFUL HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATONJA DESHAWN MARTIN PHD (EXECUTIVE DIRECTOR)
(202) 841-8725
Entity
Organization
Contact information
Practice address
221 56TH PL NE, WASHINGTON, DC 20019-6761
(202) 841-8725
(202) 380-9054
Mailing address
221 56TH PL NE, WASHINGTON, DC 20019-6761
(202) 841-8725
(202) 380-9054
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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