Organization
MARYANNE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA ANNE MGBOJI (RN)
(908) 906-7518
Entity
Organization
Contact information
Practice address
11130 FAIRFAX BLVD STE 200, FAIRFAX, VA 22030-5035
(908) 906-7518
Mailing address
11130 FAIRFAX BLVD STE 200, FAIRFAX, VA 22030-5035
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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