| Universal Support Agency LLC | |
|
650 Pennsylvania Ave Se Ste 370 Washington DC 20003-4349 | |
| (202) 258-3344 | |
| (571) 475-9528 |
| Full Name | Universal Support Agency LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 Pennsylvania Ave Se Ste 370, Washington, District Of Columbia |
| Authorized Official Name and Position | Roger E Leyou (CEO) |
| Authorized Official Contact | 2022583344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Support Agency LLC 650 Pennsylvania Ave Se Ste 370 Washington DC 20003-4349 Ph: (202) 258-3344 | Universal Support Agency LLC 650 Pennsylvania Ave Se Ste 370 Washington DC 20003-4349 Ph: (202) 258-3344 |
| NPI Number | 1588353767 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 11/05/2025 |
| Certification Date | 11/05/2025 |
| Medicare PECOS PAC ID | 7416442785 |
|---|---|
| Medicare Enrollment ID | O20251223004699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588353767 | NPI | - | NPPES |
| Provider Name | Miriane Nguele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285083816 PECOS PAC ID: 8729473426 Enrollment ID: I20220316001721 |
| Provider Name | Patrick Okpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306328497 PECOS PAC ID: 6608383377 Enrollment ID: I20250728002474 |
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