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ELAINE ELLIS CENTER OF HEALTH, INC.

Dental Care Facilities

Washington, District Of Columbia

Provider NPI: 1427331461

Organization Information:
Organization Name:  ELAINE ELLIS CENTER OF HEALTH, INC.
Organization is not Subpart
Authorized Official:  JACQUELYN R WALKER  CEO/EXECUTIVE DIRECTOR  202-4252313

Practice Location:
1627 KENILWORTH AVE NE  WASHINGTON, DC 20019 US
Tel: 202-425-2313  Fax: 202-399-1570

Business Mailing Address:
10508 JIB CT  CHELTENHAM, MD 20623 US
Tel: 202-425-2313  Fax: 301-773-5209

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental
N261QM0801XAmbulatory Health Care Facilities
Clinic/Center
Y261Q00000XAmbulatory Health Care Facilities
Clinic/Center





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