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Organization

DAILY DOSE NURSING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KOUADIO KRA KOKO REGISTERED NURSE (ADMINISTRATOR)
(703) 843-6603
Entity
Organization

Contact information

Practice address
4330 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5307
(571) 298-3392
Mailing address
4330 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5307
(571) 298-3392

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HCO-181328
VA
253Z00000X
In Home Supportive Care Agency
HCO-181328
VA
385H00000X
Respite Care
HCO-181328
VA

Other

Enumeration date
11/17/2017
Last updated
06/16/2018
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