Organization
MALIB CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBERATUS MWANGOMBE MPH, BSRC (CEO)
(240) 423-3331
Entity
Organization
Contact information
Practice address
3022 JAVIER RD STE 124, FAIRFAX, VA 22031-4624
(240) 423-3331
Mailing address
3022 JAVIER RD STE 124, FAIRFAX, VA 22031-4624
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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