Organization
MAZENO HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHER AZANGUE ENO BSC (PROGRAM ADMINISTRATOR)
(470) 861-3166
Entity
Organization
Contact information
Practice address
15378 BALD EAGLE LN, WOODBRIDGE, VA 22191-3739
(470) 861-3166
Mailing address
15378 BALD EAGLE LN, WOODBRIDGE, VA 22191-3739
(470) 861-3166
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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