Organization
ISADA HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSA BANGURA (RN, MSN, CEO)
(703) 665-4479
Entity
Organization
Contact information
Practice address
4355 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(703) 665-4479
(703) 940-1116
Mailing address
4355 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(703) 665-4479
(703) 940-1116
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
HCO-13947
VA
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-13947
OFFICE OF LINCENSURE AND CERTIFICATION
VA
Enumeration date
04/16/2013
Last updated
05/23/2018
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