| Elaine Ellis Center Of Health | |
|
1627 Kenilworth Ave Ne Washington DC 20019-2010 | |
| (202) 803-2340 | |
| (202) 803-2350 |
| Full Name | Elaine Ellis Center Of Health |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1627 Kenilworth Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Jacquelyn Renee Walker (CEO) |
| Authorized Official Contact | 2028032340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Ellis Center Of Health 1627 Kenilworth Ave Ne Washington DC 20019-2010 Ph: (202) 803-2340 | Elaine Ellis Center Of Health 1627 Kenilworth Ave Ne Washington DC 20019-2010 Ph: (202) 803-2340 |
| NPI Number | 1366243768 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 03/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366243768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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