Organization
CHARCO AGENCY
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHARLOTTE BEDIAKO (REGISTERED NURSE / DIRECTOR)
(703) 369-2503
Entity
Organization
Contact information
Practice address
10013 MOXLEYS FORD LN, BRISTOW, VA 20136-3004
(703) 369-2503
(703) 369-2503
Mailing address
10013 MOXLEYS FORD LN, BRISTOW, VA 20136-3004
(703) 369-2503
(703) 369-2503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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