Organization
BUSINESS SERVICES SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYWANDRA KING REGISTERED NURSE (PRESIDENT)
(678) 358-8535
Entity
Organization
Contact information
Practice address
3310 MCCLELLAN DR, FREDERICKSBURG, VA 22408-0296
(678) 358-8535
Mailing address
3310 MCCLELLAN DR, FREDERICKSBURG, VA 22408-0296
(678) 358-8535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WC0400X
Case Management Registered Nurse
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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