Organization
DEDICATED CARE HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS AMIBANG TANUE (CEO)
(301) 257-3504
Entity
Organization
Contact information
Practice address
5571 SAINT CHARLES DR, WOODBRIDGE, VA 22193-3537
(301) 257-3504
Mailing address
5571 SAINT CHARLES DR, WOODBRIDGE, VA 22193-3537
(301) 257-3504
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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