Organization
R.A. QUARSHIE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELAIDE ETSE (PRESIDENT)
(202) 486-1894
Entity
Organization
Contact information
Practice address
10560 MAIN ST STE 98-12, FAIRFAX, VA 22030-7182
(703) 825-4508
(240) 428-6009
Mailing address
10560 MAIN ST STE 98-12, FAIRFAX, VA 22030-7182
(703) 825-4508
(240) 428-6009
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3227-03-011
DEPARTMENT OF BEHAVIORAL HEALTH
VA
Enumeration date
06/23/2019
Last updated
10/28/2020
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