Organization
INOVACARES FOR SENIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HAGER (AVP, LTC)
(703) 289-8651
Entity
Organization
Contact information
Practice address
4027B OLLEY LANE, BRADDOCK GLEN, FAIRFAX, VA 22032
(703) 239-5888
Mailing address
8110 GATEHOUSE RD, SUITE 600 WEST, FALLS CHURCH, VA 22042-1252
(703) 289-8651
(703) 205-2367
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
VA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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