Organization
SCARLET HAVEN NURSING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EULA KHADIJATU SECKA (ADMINISTRATOR)
(240) 645-7642
Entity
Organization
Contact information
Practice address
12504 LAKE RIDGE DR STE C, WOODBRIDGE, VA 22192-2391
(703) 490-1197
(703) 890-3122
Mailing address
12504 LAKE RIDGE DR STE C, WOODBRIDGE, VA 22192-2391
(703) 490-1197
(703) 890-3122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-11694
VA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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