Provider Demographics
NPI:1972713741
Name:EXACT ENTERPRISE
Entity Type:Organization
Organization Name:EXACT ENTERPRISE
Other - Org Name:RUFIN TOKO SIME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:TOKO
Authorized Official - Last Name:SIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-215-8366
Mailing Address - Street 1:11550 STEWART LN
Mailing Address - Street 2:SUITE # 307
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2269
Mailing Address - Country:US
Mailing Address - Phone:301-841-7617
Mailing Address - Fax:301-622-1896
Practice Address - Street 1:11550 STEWART LN
Practice Address - Street 2:SUITE # 307
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2269
Practice Address - Country:US
Practice Address - Phone:301-431-2227
Practice Address - Fax:301-841-7617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCWMATC# 1249343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC038693200Medicaid