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Organization

FIRSTCARE FLU & WELLNESS, LLC

Active
Parent organization
FIRSTCARE WELLNESS GROUP, INC.
Other names
FirstCare GovSolutions
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIRSTCARE WELLNESS GROUP, INC.
Authorized official
MR. WILTON RICARDO SCOTT (CEO)
(909) 784-2203
Entity
Organization

Contact information

Practice address
1751 PINNACLE DR, SUITE 600, MC LEAN, VA 22102-4903
(800) 750-2019
(909) 295-3142
Mailing address
1751 PINNACLE DR, SUITE 600, MC LEAN, VA 22102-4903
(800) 750-2019
(909) 295-3142

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
0102201555
VA
171000000X
Military Health Care Provider
0102201555
VA
172V00000X
Community Health Worker
0102201555
VA
251E00000X
Home Health Agency
0102201555
VA
253Z00000X
In Home Supportive Care Agency
0102201555
VA
302R00000X
Health Maintenance Organization
Primary
0102201555
VA
390200000X
Student in an Organized Health Care Education/Training Program
0102201555
VA

Other

Enumeration date
02/25/2016
Last updated
02/25/2016
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