Organization
M & T UNIVERSAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY AYONG B.S.C, LPN (ADMINISTRATOR)
(571) 830-6812
Entity
Organization
Contact information
Practice address
6315 BACKLICK RD STE 308, SPRINGFIELD, VA 22150
(571) 830-6812
(571) 830-6813
Mailing address
6315 BACKLICK RD STE 308, SPRINGFIELD, VA 22150-2608
(571) 830-6812
(571) 830-6813
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-10596
VA
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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