Organization
DIVINE MERCY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA MICHELLE LOPEZ RN (ADMINISTRATOR)
(703) 895-8225
Entity
Organization
Contact information
Practice address
8150 FLANNERY CT, MANASSAS, VA 20109-2733
(703) 895-8225
Mailing address
8150 FLANNERY CT, MANASSAS, VA 20109-2733
(703) 895-8225
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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