Organization
VIDACARE LLC
Active
Other names
VidaCare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYMAN TERRY MADDOX JR. PHD (CEO)
(202) 412-3725
Entity
Organization
Contact information
Practice address
1629 K STREET NW, STE 300, WASHINGTON, DC 20006
(202) 403-2284
Mailing address
1629 K STREET NW, STE 300, WASHINGTON, DC 20006-1631
(202) 403-2284
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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