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Organization
MAMBO ROYAL CARE LLC
Active
Organization
MAMBO ROYAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE NGESAH MAMBO (CEO)
(240) 413-1407
Entity
Organization
Contact information
Practice address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(240) 413-1407
Mailing address
5680 KING CENTRE DR STE 600, ALEXANDRIA, VA 22315-5755
(240) 413-1407
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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