Provider Demographics
NPI:1366939225
Name:DISTRICT HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:DISTRICT HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:MASAWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-255-2574
Mailing Address - Street 1:2811 PENNSYLVANIA AVE SE STE LL
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3865
Mailing Address - Country:US
Mailing Address - Phone:202-894-6811
Mailing Address - Fax:202-894-6811
Practice Address - Street 1:2811 PENNSYLVANIA AVE SE STE LL
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3865
Practice Address - Country:US
Practice Address - Phone:202-894-6811
Practice Address - Fax:202-894-6811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty