Individual provider · Type 1 NPI

Devon M. Hall

PACE Provider Organization · Southest, DC

NPI number 1073376182 Active

Practice location

3605 Minnesoda Ave.
Southest, DC 20019

Mailing address

6107 Welshire Ct
Upper Marlboro, MD 20772-3838

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider 3747A0650XNone listed
PACE Provider Organization Primary 251T00000XNone listed

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

About NPI 1073376182

Devon M. Hall's National Provider Identifier is 1073376182, issued on Feb 1, 2024. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Southest, DC. The record was last updated on Feb 1, 2024.