Organization
INOVA HEALTH SYSTEM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAGER (SENIOR ADMINISTRATOR)
(703) 279-4252
Entity
Organization
Contact information
Practice address
1800 CAMERON GLEN DR, RESTON, VA 20190-3308
(703) 834-5800
(703) 834-5905
Mailing address
9900 MAIN ST, SECOND FLOOR, FAIRFAX, VA 22031-3907
(703) 279-4353
(703) 279-4210
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
NH2593
VA
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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