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Organization

GENTLE HANDS SENIOR CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICHOLE MOSS (PRESIDENT)
(703) 754-0721
Entity
Organization

Contact information

Practice address
9112 AUTUMN GLORY LN, BRISTOW, VA 20136-5110
(703) 754-0721
Mailing address
9112 AUTUMN GLORY LN, BRISTOW, VA 20136-5110

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
12/19/2011
Last updated
12/19/2011
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