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Organization

PROCEDA HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KOKOE EZUI MPH, LPN (EXECUTIVE DIRECTOR)
(571) 598-4008
Entity
Organization

Contact information

Practice address
44043 FERNCLIFF TER, ASHBURN, VA 20147-3329
(240) 343-3105
Mailing address
PO BOX 2182, ASHBURN, VA 20146-9082

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
02/23/2018
Last updated
02/23/2018
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