OrganizationActive
Mbi
NPI 1750796876 · Physical Disabilities Residential Treatment Facility · Washington, DC
Provider details
- NPI number
- 1750796876
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Mbi
- Organization subpart
- Yes
- Authorized official
- Andre Wanteu, Hha(202) 725-9450
- License
- HHA9059 (DC)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
115 Missouri Ave Nw Apt 4
Washington, DC 20011-5241
Phone: (202) 725-9450
Approximate (ZIP-level) locationGet directions
Mailing address
115 Missouri Ave Nw Apt 4
Washington, DC 20011-5241
Registry dates
- Enumerated
- 2014-06-26
- Last updated
- 2014-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.