Organization
CALVARY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY H KUFUOR RN, BSN, MBA (ADMINISTRATOR)
(301) 335-8424
Entity
Organization
Contact information
Practice address
10802 MONTICELLO DR, GREAT FALLS, VA 22066-4223
(301) 335-8424
Mailing address
2205 MIDDLEFIELD CT, DENVILLE, NJ 07834-3463
(301) 335-8424
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
900-01-001
VA
Other
Enumeration date
01/21/2009
Last updated
04/16/2009
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