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Organization

CNR HOME HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSAUNDRA MARIE WAITE (REGISTERED NURSE)
(845) 750-7008
Entity
Organization

Contact information

Practice address
12840 DUSTY WILLOW RD, MANASSAS, VA 20112-5548
(703) 794-8693
(703) 794-8693
Mailing address
12840 DUSTY WILLOW RD, MANASSAS, VA 20112-5548

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0001264088
VA

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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