Organization
PRN MEDICAL STAFFERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE ROYAL (ADMINISTRATOR)
(703) 670-8790
Entity
Organization
Contact information
Practice address
5409 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4526
(703) 670-8790
(703) 670-8791
Mailing address
5409 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4526
(703) 670-8790
(703) 670-8791
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO09524
VA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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