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Organization
EXPERIENCARE LLC
Active
Organization
EXPERIENCARE LLC
Active
Other names
ExperienCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOREEN R JAHANGIRI (PRESIDENT)
(703) 338-0285
Entity
Organization
Contact information
Practice address
502 MCKNIGHT DR STE 101, KNIGHTDALE, NC 27545-7050
(703) 338-0878
(703) 991-8154
Mailing address
5338 BOWERS HILL DR, HAYMARKET, VA 20169-4510
(703) 338-0285
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
273100000X
Epilepsy Hospital Unit
—
NULL
292200000X
Dental Laboratory
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
08/12/2017
Last updated
10/24/2020
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