Organization
IMMACULATE HEALTH CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY SESAY (NURSE)
(202) 832-8340
Entity
Organization
Contact information
Practice address
1532 FORT DAVIS ST SE, WASHINGTON, DC 20020-6026
(202) 468-0963
Mailing address
1532 FORT DAVIS ST SE, WASHINGTON, DC 20020-6026
(202) 468-0963
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70584331
DC CHARTERED HEALTH PLAN
DC
Enumeration date
07/01/2012
Last updated
07/01/2012
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