Provider Demographics
NPI:1689204653
Name:EMPOWERING LIFE GROUP LLP
Entity Type:Organization
Organization Name:EMPOWERING LIFE GROUP LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUNGWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-905-5550
Mailing Address - Street 1:6218 GEORGIA AVE NW STE 405
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5125
Mailing Address - Country:US
Mailing Address - Phone:202-809-9030
Mailing Address - Fax:
Practice Address - Street 1:10410 KENSINGTON PKWY STE 103
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2944
Practice Address - Country:US
Practice Address - Phone:202-809-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-18
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities