Organization
BISME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRITA BOYD (OWNER)
(571) 501-6542
Entity
Organization
Contact information
Practice address
3169 ANTRIM CIRCLE, DUMFRIES, VA 22026
(571) 501-6542
Mailing address
3169 ANTRIM CIRCLE, DUMFRIES, VA 22026
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972012801
—
VA
05
—
72
—
VA
Enumeration date
03/18/2016
Last updated
03/18/2016
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