Organization
NOVA PREMIYM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHERWIN (OWNER/PRESIDENT)
(571) 213-7321
Entity
Organization
Contact information
Practice address
10696 OAKTON RIDGE CT, OAKTON, VA 22124-1642
(571) 213-7321
Mailing address
10696 OAKTON RIDGE CT, OAKTON, VA 22124-1642
(571) 213-7321
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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