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Organization

LTC ADULT DAY CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIRAHIM HUSSEIN (PRESIDENT)
(703) 361-5843
Entity
Organization

Contact information

Practice address
8730 SUDLEY RD, MANASSAS, VA 20110-4405
(703) 361-5843
(703) 935-3000
Mailing address
8730 SUDLEY RD, MANASSAS, VA 20110-4405
(703) 361-5843
(703) 935-3000

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
VA

Other

Enumeration date
05/02/2015
Last updated
05/02/2015
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