Provider / Organization | NPI | Date Certified |
---|---|---|
DOROTHY WASHINGTON | 1013481720 | 2022-07-30 |
Dorothy Washington is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013481720. Registration indicates Dorothy Washington is a provider of services with a specialization in Agencies, Day Training, Developmentally Disabled Services (Day Training, Developmentally Disabled Services, ) (Day Training, Developmentally Disabled Services, Agencies)
Entity Type | Individual |
Provider Name | Dorothy Washington |
Practice Office Address | 6316 SAN JUAN AVE STE 41A JACKSONVILLE, FL US |
Practice Office Telephone | 9045031153 |
Practice Office Fax | 9045031143 |
Mailing Address | 6316 SAN JUAN AVE STE 41A JACKSONVILLE, FL 322102883 US |
Business Telephone | 9045031153 |
Business Fax | 9045031143 |
Code | Practice | License No State |
---|---|---|
251C00000X PRIMARY | Agencies Day Training, Developmentally Disabled Services Day Training, Developmentally Disabled Services Day Training, Developmentally Disabled Services Agencies |
FL |
83-0766373 | MEDICAID | FL |