Organization
MWANZI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERICK MWIHAVA (ADMINISTRATOR)
(501) 266-8972
Entity
Organization
Contact information
Practice address
4323 12TH ST SE, WASHINGTON, DC 20032-4605
(501) 266-8972
Mailing address
4323 12TH ST SE, WASHINGTON, DC 20032-4605
(501) 266-8972
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
07/10/2023
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