Organization
A.I.WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ROPER NP (NURSING DIRECTOR)
(707) 208-4325
Entity
Organization
Contact information
Practice address
11114 WORTHAM CREST CIR, MANASSAS, VA 20109-5689
(707) 208-4326
Mailing address
11114 WORTHAM CREST CIR, MANASSAS, VA 20109-5689
(707) 208-4326
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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