Organization
RITECARE CONCEPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN NENNE IDUMA DNP, FNP-BC (DIRECTOR)
(703) 278-8076
Entity
Organization
Contact information
Practice address
11931 APPLING VALLEY RD, FAIRFAX, VA 22030-5701
(703) 278-8076
(703) 743-6031
Mailing address
11931 APPLING VALLEY RD, FAIRFAX, VA 22030-5701
(703) 278-8076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
06/01/2021
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