Organization
M & I HOME HEALTH CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRU NICHOLAS NDE (OWNER)
(202) 758-4026
Entity
Organization
Contact information
Practice address
4717 13TH PL NE, WASHINGTON, DC 20017-3106
(202) 758-4026
Mailing address
4717 13TH PL NE, WASHINGTON, DC 20017-3106
(202) 758-4026
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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