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Organization

GOOD HOPE HEALTHCARE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCO MADIGA (ADMINISTRATOR)
(571) 577-0962
Entity
Organization

Contact information

Practice address
3022 JAVIER RD STE 207A, FAIRFAX, VA 22031-4657
(571) 577-0962
Mailing address
3022 JAVIER RD STE 207A, FAIRFAX, VA 22031-4657
(571) 577-0962

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HCO-202019
VA
Enumeration date
10/08/2019
Last updated
10/08/2019
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