Organization
MJ GENERAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST M IGWACHO (CEO)
(202) 563-8690
Entity
Organization
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE STE 230, WASHINGTON, DC 20020-7038
(202) 563-8690
(202) 563-8692
Mailing address
2041 MARTIN LUTHER KING JR AVE SE STE 230, WASHINGTON, DC 20020-7038
(202) 563-8690
(202) 563-8692
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066020900
—
DC
05
—
HHA 074802100
—
DC
Enumeration date
07/14/2010
Last updated
02/03/2021
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