Organization
GENNYBE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY BETANGA (OWNER)
(301) 379-2561
Entity
Organization
Contact information
Practice address
8300 BOONE BLVD STE 500, VIENNA, VA 22182-2681
(301) 379-2561
Mailing address
8300 BOONE BLVD STE 500, VIENNA, VA 22182-2681
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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