# MIA HEALTH INC.

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

## Provider details

- **NPI number:** 1174244362
- **Authorized official:** GRISELDA SHUTERMEJA (COO)
- **Authorized official phone:** (703) 380-6204

## Contact information

- **Practice address:** 5680 KING CENTRE DR STE 600, KINGSTOWNE, VA 22315-5755
- **Practice address phone:** (571) 408-9904
- **Mailing address:** 4188 LA MAURICIE LOOP, DUMFRIES, VA 22025-1953
- **Mailing address phone:** (703) 380-6204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 09/07/2022