Provider Demographics
NPI:1801585377
Name:KARIBU HEALTHCARE RESOURCES.LLC
Entity type:Organization
Organization Name:KARIBU HEALTHCARE RESOURCES.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTALEMWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-404-6901
Mailing Address - Street 1:143 KENNEDY ST NW STE 9
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5269
Mailing Address - Country:US
Mailing Address - Phone:301-404-6901
Mailing Address - Fax:
Practice Address - Street 1:143 KENNEDY ST NW STE 9
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5269
Practice Address - Country:US
Practice Address - Phone:301-404-6901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health