Organization
PACIFIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILIENNE WANSI SINFJUI BSN (EXECUTIVE DIRECTOR)
(202) 413-3230
Entity
Organization
Contact information
Practice address
513 FRANKLIN ST NE APT 3, WASHINGTON, DC 20017-1348
(202) 413-3230
Mailing address
11104 AMHERST AVE, WHEATON, MD 20902-7622
(202) 413-3230
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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