Organization
ENVISIONCARE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEREESE C TUCKER (DIRECTOR)
(703) 245-1124
Entity
Organization
Contact information
Practice address
1600 TYSONS BLVD, 8TH FLOOR, MC LEAN, VA 22102-4865
(703) 245-1124
Mailing address
1600 TYSONS BLVD, 8TH FLOOR, MC LEAN, VA 22102-4865
(703) 245-1124
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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