Provider Demographics
NPI:1043493034
Name:HRDI OF THE DISTRICT OF COLUMBIA
Entity Type:Organization
Organization Name:HRDI OF THE DISTRICT OF COLUMBIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EFFIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-441-9009
Mailing Address - Street 1:200 K ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5500
Mailing Address - Country:US
Mailing Address - Phone:202-408-1226
Mailing Address - Fax:
Practice Address - Street 1:200 K ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5500
Practice Address - Country:US
Practice Address - Phone:202-408-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness