Organization
THE MEDICAL TEAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GRISARD (CFO)
(703) 390-2300
Entity
Organization
Contact information
Practice address
1896 PRESTON WHITE DR STE 650A, RESTON, VA 20191-4325
(703) 390-2300
(703) 390-5818
Mailing address
1902 CAMPUS COMMONS DR, SUITE 650A, RESTON, VA 20191-1563
(703) 390-2300
(703) 390-5818
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSP18232
VA
Other
Enumeration date
07/17/2015
Last updated
07/27/2022
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