Organization
MIA HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELDA SHUTERMEJA (COO)
(703) 380-6204
Entity
Organization
Contact information
Practice address
5680 KING CENTRE DR STE 600, KINGSTOWNE, VA 22315-5755
(571) 408-9904
Mailing address
4188 LA MAURICIE LOOP, DUMFRIES, VA 22025-1953
(703) 380-6204
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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