Organization
MATATA GROUP LLC
Active
Other names
Matata Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BELINDA AHORNAM GRIFFIN (GENERAL MANAGER)
(703) 687-2666
Entity
Organization
Contact information
Practice address
24707 CAPECASTLE TER, ALDIE, VA 20105-5570
(703) 687-2666
(703) 738-7917
Mailing address
24707 CAPECASTLE TER, ALDIE, VA 20105-5570
(703) 687-2666
(703) 738-7917
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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