Organization
MEDLEAF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDA MALIK (CEO)
(703) 850-4058
Entity
Organization
Contact information
Practice address
13306 TUCKAWAY DR, FAIRFAX, VA 22033-1104
(703) 850-4058
Mailing address
13306 TUCKAWAY DR, FAIRFAX, VA 22033-1104
(703) 850-4058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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