Organization
NURSES STATION STAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA FAGRE CHAFLOQUE (COORDINATOR)
(703) 241-0255
Entity
Organization
Contact information
Practice address
1073 W BROAD ST STE 212A, FALLS CHURCH, VA 22046-4612
(703) 241-0255
(703) 241-0059
Mailing address
1073 W BROAD ST STE 212A, FALLS CHURCH, VA 22046-4612
(703) 241-0255
(703) 241-0059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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