AGLOW RECOVERY HEALTHCARE SERVICES NPI 1710699137

NPI Information

NPI: 1710699137
Provider Name: AGLOW RECOVERY HEALTHCARE SERVICES
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1647 BENNING RD NE STE 300A
WASHINGTON, DC
ZIP 20002
Phone: (202) 621-8713
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AGLOW RECOVERY HEALTHCARE SERVICES is a multi-specialty clinic center in Washington, DC. AGLOW RECOVERY HEALTHCARE SERVICES NPI is 1710699137. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1647 BENNING RD NE STE 300A
WASHINGTON, DC
ZIP 20002-572
Phone: (202) 621-8713
Fax: (202) 946-7091

The provider's authorized official is Kerniba Y Ghoneim .
The authorized official title is Co-owner and has the following contact phone number (202) 621-8713.

The enumeration date for this NPI number is 12/16/2022 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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