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Organization

DC CARES CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MALIK ZULU SHABAZZ (CHIEF OPERATING OFFICER)
(202) 369-9986
Entity
Organization

Contact information

Practice address
61 HAWAII AVE NE, SUITE LL, WASHINGTON, DC 20011-4985
(202) 269-2736
(202) 269-4159
Mailing address
4043 CLAY PL NE, WASHINGTON, DC 20019-3340
(202) 369-9986
(202) 269-4159

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
69000761
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039903300
DC
Enumeration date
02/18/2014
Last updated
02/18/2014
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