PRIME CREATIVE HEALTH SERVICE LLC NPI 1568858942

NPI Information

PRIME CREATIVE HEALTH SERVICE LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Washington, DC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PRIME CREATIVE HEALTH SERVICE LLC NPI is 1568858942. The provider is registered as an organization entity type.

The provider's business location address is:

1110 ASPEN ST NW APT 101
WASHINGTON, DC
ZIP 20012-518
Phone: (301) 537-9307

The provider's authorized official is Justin Nwaete .
The authorized official title is Ceo and has the following contact phone number (301) 537-9307.

The enumeration date for this NPI number is 4/12/2015 and was last updated on 4/12/2015.

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:

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