OrganizationActive
Ics
NPI 1194128819 · Assisted Living Facility (Mental Illness) · Washington, DC
Provider details
- NPI number
- 1194128819
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Clotilde Andjongo Bitomo, Hha(240) 467-4139
- License
- HHA10972 (DC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1234 Southern Ave Se Apt 301
Washington, DC 20032-4620
Phone: (240) 467-4139
Approximate (ZIP-level) locationGet directions
Mailing address
1234 Southern Ave Se Apt 301
Washington, DC 20032-4620
Registry dates
- Enumerated
- 2014-10-08
- Last updated
- 2014-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.