Organization
THE MEDICAL TEAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN GRISARD (CFO)
(703) 390-2300
Entity
Organization
Contact information
Practice address
1896 PRESTON WHITE DR, RESTON, VA 20191-4325
(703) 390-2300
(703) 390-5819
Mailing address
1902 CAMPUS COMMONS DR, SUITE 650, RESTON, VA 20191-1563
(703) 390-2300
(703) 390-5819
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004970331
—
VA
Enumeration date
05/27/2006
Last updated
10/14/2022
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