Organization
WELLCARE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY KOREZ ZACHARIAH PT (PRESIDENT)
(586) 215-8990
Entity
Organization
Contact information
Practice address
315 DRY MILL RD SW, LEESBURG, VA 20175-2601
(586) 215-8990
Mailing address
125 ROY CT SE, LEESBURG, VA 20175-6170
(586) 215-8990
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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