Organization · NPI-2

1441, INC

Clinic/Center, Health Services · Capitol Heights, MD

NPI number1093306185
StatusActive
Last updated in NPPESFeb 1, 2021

Details

NPI
1093306185
Entity type
Organization (NPI-2)
Legal business name
1441, INC
Organization subpart
No
Enumeration date
Feb 1, 2021
Certification date
Feb 1, 2021
Last updated
Feb 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes

Practice location

3904 Byers St
Capitol Heights, MD 20743-5720

Phone 202-597-7722

Mailing address

3904 Byers St
Capitol Heights, MD 20743-5720

Phone 202-597-7722 · Fax 202-403-3512

Authorized official

Donya Butler
Office Manger
2404867284

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