Organization
COMMUNITY ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL AMANFU (ADMINISTRATOR)
(240) 328-0406
Entity
Organization
Contact information
Practice address
5514 ALMA LN STE 100, SPRINGFIELD, VA 22151-4014
(240) 441-8934
Mailing address
5514 ALMA LN STE 100, SPRINGFIELD, VA 22151-4014
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
VA
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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