Organization
JENGO HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE NABABINGE (CEO)
(571) 307-0607
Entity
Organization
Contact information
Practice address
11166 FAIRFAX BLVD, FAIRFAX, VA 22030-5017
(571) 307-0607
Mailing address
11166 FAIRFAX BLVD, FAIRFAX, VA 22030-5017
(571) 307-0607
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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