Provider First Line Business Practice Location Address:
1818 NEWTON STREET N.W.
Provider Second Line Business Practice Location Address:
STODDARD BAPTIST NURSING HOME
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-328-7400
Provider Business Practice Location Address Fax Number:
202-328-0421
Provider Enumeration Date:
08/23/2005