Organization
CONCERTOHEALTH OF NORTHERN VIRGINIA, LLC
Active
Parent organization
PERFECT HEALTH INC
Other names
Cherry Blossom PACE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERFECT HEALTH INC
Authorized official
JOSE ALFREDO MARTINEZ (DIRECTOR)
(949) 668-4902
Entity
Organization
Contact information
Practice address
1901 N BEAUREGARD ST STE 110, ALEXANDRIA, VA 22311-1721
(313) 407-3807
Mailing address
21750 HARDY OAK BLVD STE 104, PMB 72961, SAN ANTONIO, TX 78258-4946
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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