Organization
BAK HOME HEALTHCARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE BAKARE ADMINISTRATOR (NURSE TECH)
(703) 338-3654
Entity
Organization
Contact information
Practice address
4160 PINEYRIDGE LN, WOODBRIDGE, VA 22193-1841
(703) 338-3654
(703) 730-5391
Mailing address
4160 PINEYRIDGE LN, WOODBRIDGE, VA 22193-1841
(703) 338-3654
(703) 730-5391
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06L23950
VA
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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