Organization
EXALT HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA TAGOE RN (ADMINISTRATOR)
(571) 276-4141
Entity
Organization
Contact information
Practice address
5290 SHAWNEE RD STE 200, ALEXANDRIA, VA 22312-2381
(571) 276-4141
Mailing address
567 COASTAL AVE, STAFFORD, VA 22554-6857
(571) 276-4141
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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