# CUADRO HOME CARE INCORPORATED

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

## Provider details

- **NPI number:** 1629585674
- **Authorized official:** JENNIFER BOPHACHAN TEP-CUADRO PHARMD (PRESIDENT/OWNER)
- **Authorized official phone:** (757) 560-6466

## Contact information

- **Practice address:** 14192 CHAPMANS LN, CARROLLTON, VA 23314
- **Practice address phone:** (757) 560-6466
- **Mailing address:** 14192 CHAPMANS LN, CARROLLTON, VA 23314-9718
- **Mailing address phone:** (757) 560-6466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2017
- **Last updated:** 09/04/2018