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Organization

MARTHA JONES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY BROWN (MANAGING MEMBER)
(202) 247-5080
Entity
Organization

Contact information

Practice address
5410 JOSHUA TREE CIR, FREDERICKSBURG, VA 22407-9342
(202) 247-5080
Mailing address
5410 JOSHUA TREE CIR, FREDERICKSBURG, VA 22407-9342
(202) 247-5080

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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