Organization
MATATA GROUP LLC
Active
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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