Organization
SELECTIVE CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY COBB (EXECUTIVE DIRECTOR)
(571) 620-4050
Entity
Organization
Contact information
Practice address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
(703) 884-4024
Mailing address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
(703) 884-4024
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
10/07/2020
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