Organization
CUADRO HOME CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOPHACHAN TEP-CUADRO PHARMD (PRESIDENT/OWNER)
(757) 560-6466
Entity
Organization
Contact information
Practice address
14192 CHAPMANS LN, CARROLLTON, VA 23314
(757) 560-6466
Mailing address
14192 CHAPMANS LN, CARROLLTON, VA 23314-9718
(757) 560-6466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/29/2017
Last updated
09/04/2018
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