Organization
BORDEAUX LLC
Active
Other names
Colonial Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MURRAY (OWNER/ADMINISTRATOR)
(540) 659-9900
Entity
Organization
Contact information
Practice address
300 GARRISONVILLE RD, SUITE 301, STAFFORD, VA 22554-8903
(540) 659-9900
(540) 659-9902
Mailing address
300 GARRISONVILLE RD, SUITE 301, STAFFORD, VA 22554-8903
(540) 659-9900
(540) 659-9902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO14958
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170460551
—
VA
05
—
0170460809
—
VA
Enumeration date
12/05/2013
Last updated
12/05/2013
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