Organization
FERNELLAS QUALITY CARE
Active
Other names
Fernella's Quality Care
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE BENTA RN, MSHCA (CARE COORDINATION CONSULTANT)
(571) 435-5032
Entity
Organization
Contact information
Practice address
2300 24TH ROAD SOUTH #624, ARLINGTON, VA 22206
(571) 435-5032
Mailing address
2300 24TH ROAD SOUTH #624, ARLINGTON, VA 22206
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
R146754
—
251B00000X
Case Management Agency
Primary
R146754
—
251E00000X
Home Health Agency
R146754
MD
252Y00000X
Early Intervention Provider Agency
R146754
MD
261QA0005X
Ambulatory Family Planning Facility
R146754
—
281P00000X
Chronic Disease Hospital
R146754
MD
281PC2000X
Children's Chronic Disease Hospital
R146754
MD
282NC2000X
Children's Hospital
R146754
MD
291U00000X
Clinical Medical Laboratory
R146754
MD
293D00000X
Physiological Laboratory
R146754
MD
302F00000X
Exclusive Provider Organization
R146754
MD
302F00000X
Exclusive Provider Organization
R146754
—
302R00000X
Health Maintenance Organization
R146754
MD
305R00000X
Preferred Provider Organization
R146754
MD
305S00000X
Point of Service
R146754
MD
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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