Organization
GIFTED TOUCH HOMEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SECRET MADAWO RN (CEO/ADMINISTARTOR)
(571) 215-1704
Entity
Organization
Contact information
Practice address
11350 RANDOM HILLS RD STE 800, FAIRFAX, VA 22030-6044
(571) 215-1704
Mailing address
3977 BURNING BUSH CT, FAIRFAX, VA 22033-2447
(571) 215-1704
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1770
VA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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