Provider Demographics
NPI:1881396141
Name:E&J CARE
Entity type:Organization
Organization Name:E&J CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JERATE
Authorized Official - Middle Name:NGWASHI
Authorized Official - Last Name:MUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-897-6066
Mailing Address - Street 1:1420 N ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2843
Mailing Address - Country:US
Mailing Address - Phone:202-977-7010
Mailing Address - Fax:
Practice Address - Street 1:1420 N ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2843
Practice Address - Country:US
Practice Address - Phone:302-897-6066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No385H00000XRespite Care FacilityRespite Care