Organization
STODDARD BAPTIST HOME
Active
Other names
Stoddard Baptist Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MA,REMEDIOS JOSE-JOHNSON RN, LNHA (ADMINISTRATOR)
(202) 328-7400
Entity
Organization
Contact information
Practice address
1818 NEWTON ST NW, WASHINGTON, DC 20010-1017
(202) 328-7400
(202) 328-0421
Mailing address
1818 NEWTON ST NW, WASHINGTON, DC 20010-1017
(202) 328-7400
(202) 328-0421
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
HFD02-0019
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029880400
—
DC
Enumeration date
01/03/2007
Last updated
04/16/2012
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