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CHRYSALLIS, INC.

Intermediate Care Facility, Mentally Retarded

Washington, District Of Columbia

Provider NPI: 1548382401

Organization Information:
Organization Name:  CHRYSALLIS, INC.


Practice Location:
3765 1ST ST SE  WASHINGTON, DC 20032 US
Tel: 202-561-4393  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
DCHFD03-0229

Other Provider Identifiers:

IssuerNumberStateType
025901600DC05
026785400DC05
026784600DC05
026786200DC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS DC - Page 1



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