| Elaine Ellis Center Of Health, Inc. | |
|
1627 Kenilworth Ave Ne Washington DC 20019-2010 | |
| (202) 425-2313 | |
| (202) 399-1570 |
| Full Name | Elaine Ellis Center Of Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1627 Kenilworth Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Jacquelyn R Walker (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2024252313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Ellis Center Of Health, Inc. 10508 Jib Ct Cheltenham MD 20623-1329 Ph: (202) 425-2313 | Elaine Ellis Center Of Health, Inc. 1627 Kenilworth Ave Ne Washington DC 20019-2010 Ph: (202) 425-2313 |
| NPI Number | 1427331461 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 8325203144 |
|---|---|
| Medicare Enrollment ID | O20120629000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427331461 | NPI | - | NPPES |
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