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Organization
PEDIALAC NURSING SERVICES LLC
Active
Organization
PEDIALAC NURSING SERVICES LLC
Active
Other names
PEDIALAC NURSING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AMA CLARKE RN (ADMINSTRATOR)
(540) 737-4010
Entity
Organization
Contact information
Practice address
1127 INTERNATIONAL PKWY STE 220, FREDERICKSBRG, VA 22406-1142
(540) 737-4010
(540) 737-4011
Mailing address
1127 INTERNATIONAL PKWY STE 220, FREDERICKSBRG, VA 22406-1142
(540) 737-4010
(540) 737-4011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO 161444
VA
251E00000X
Home Health Agency
—
NULL
Other
Enumeration date
05/06/2016
Last updated
10/19/2021
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