Organization
UP-STATION HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN AYABA (CEO)
(202) 704-7628
Entity
Organization
Contact information
Practice address
1818 NEW YORK AVE NE # 232, WASHINGTON, DC 20002-1848
(202) 704-7628
Mailing address
1818 NEW YORK AVE NE # 232, WASHINGTON, DC 20002-1848
(202) 704-7628
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
05/02/2024
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