# MEDVIDA HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1700644382
- **Authorized official:** DR. ZAKEVIA DENISE GREEN (OWNER/CEO)
- **Authorized official phone:** (703) 762-6855

## Contact information

- **Practice address:** 4339 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
- **Practice address phone:** (703) 762-6855
- **Mailing address:** 4339 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
- **Mailing address phone:** (703) 762-6855

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2024
- **Last updated:** 03/08/2024