# MUDITA LIVING LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144945528
- **Authorized official:** MRS. VANDANA PONNALA (DIRECTOR)
- **Authorized official phone:** (571) 449-0853

## Contact information

- **Practice address:** 1202 E HOLLY AVE, STERLING, VA 20164-2612
- **Practice address phone:** (571) 449-0853
- **Mailing address:** 23699 HEATHER MEWS DR, ASHBURN, VA 20148-1812
- **Mailing address phone:** (571) 449-0853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2022
- **Last updated:** 10/07/2022