Organization
REVERENCE AND RESILIENCE DIRECT CARE SERVICES
Active
Other names
Reverenceand Resilience Direct Care Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL OPOKU AGYEMAN (EXECUTIVE DIRECTOR)
(703) 386-6392
Entity
Organization
Contact information
Practice address
15277 FOREST GROVE DR, WOODBRIDGE, VA 22191-3911
(703) 349-0963
(703) 441-1789
Mailing address
15277 FOREST GROVE DR, WOODBRIDGE, VA 22191-3911
(703) 349-0963
(703) 441-1789
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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